Individual provider Active NPI

Elizabeth M Nabors, LCSW, CASAC, IADC

  • Professional Counselor
  • Belville, NC
National Provider Identifier
1942503586
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-009445 Issued in NC
Practice address
151 Poole Rd Ste 505
Belville, NC 28451-9508
Phone
(910) 240-2220
Fax
(314) 344-5746
NPI assigned
Dec 20, 2010
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25150 NY
Professional Counselor 101YP2500X 082236-1 NY
Professional Counselor 101YP2500X 009445 NC
Professional Counselor 101YP2500X C009445 NC
Professional Counselor 101YP2500X C-009445 NC Primary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X C-009445 NC
Clinical Social Worker 1041C0700X 082236-1 NY
Clinical Social Worker 1041C0700X C9633 MS

Addresses

Primary practice location

151 Poole Rd Ste 505
Belville, NC 28451-9508

Mailing address

3520 Gladehill LN
Leland, NC 28451-6511
Phone (910) 240-2220

Other identifiers 3

IdentifierTypeStateIssuer
C9633OtherMSLICENSURE
C009445OtherNCLICENSURE
082236-1OtherNYLICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015001038 NC Practitioner - Clinical Social Worker 7113279449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

497 Olde Waterford Way
Suite 202 110
Belville, NC 28451-4182
Phone (910) 240-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25150NYMDAddiction (Substance Use Disorder) Counselor
009445NCMDProfessional Counselor
C-009445NCMDProfessional Counselor
C009445NCMDProfessional Counselor
082236-1NYMDProfessional Counselor
C9633MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Inspirations PLLC Clinical CurrentSince Aug 9, 2018 Accepting new patients

Locations

151 Poole Rd
Ste 505
Belville, NC 28451
Phone (910) 240-2220

497 Olde Waterford Way
Ste 202
Belville, NC 28451

497 Olde Waterford Way
Ste 202110
Belville, NC 28451
Phone (910) 240-2220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1942503586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GLADEHILL LN",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516511",
            "telephone_number": "910-240-2220",
            "fax_number": "914-344-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 POOLE RD STE 505",
            "city": "BELVILLE",
            "state": "NC",
            "postal_code": "284519508",
            "telephone_number": "910-240-2220",
            "fax_number": "314-344-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CASAC, IADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "25150",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "082236-1",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "009445",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "C009445",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "C-009445",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C-009445",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082236-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "C9633",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "C009445",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "082236-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belville, NC

Sources for this page

Verify at the official NPI Registry.