Active NPI
Clinical Counseling and Consulting Services, PLLC
- Community/Behavioral Health Agency
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC
- Practice address
- 2931 Breezewood Ave Ste 200
Fayetteville, NC 28303-5281 - Phone
- (910) 748-0833
- NPI assigned
- Dec 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Caldwell, LCSW,LCAS
- Title
- Ceo/Owner
- Phone
- (910) 489-9036
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | C010223 | NC | |
| Community/Behavioral Health Agency | 251S00000X | LCASA-21289 | NC | |
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2931 Breezewood Ave Ste 200
Fayetteville, NC 28303-5281
Mailing address
2539 McArthur Landing Cir Apt 102
Fayetteville, NC 28311-9019
Phone (910) 489-9036
Other practice location 1
2940 Breezewood Ave
Fayetteville, NC 28303-5520
Phone (910) 827-6594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942744792 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecaldwell@3cworks.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2931 Breezewood Ave
Ste 200
Fayetteville, NC 28303
Phone (910) 489-9036
111 Lamon St
Ste 215
Fayetteville, NC 28301
2940 Breezewood Ave
Fayetteville, NC 28303
Phone (910) 748-0833
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1801202429
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1417796707
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1154936417
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1962116830
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1437855574
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1730826371
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1124740279
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1699404079
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1336978386
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1043880651
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1801602396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1942744792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 MCARTHUR LANDING CIR APT 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119019",
"telephone_number": "910-489-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 BREEZEWOOD AVE STE 200",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035281",
"telephone_number": "910-748-0833"
}
],
"practiceLocations": [
{
"address_1": "2940 Breezewood Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283035520",
"country_code": "US",
"telephone_number": "910-827-6594",
"fax_number": "910-827-6592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-13",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "910-489-9036",
"authorized_official_credential": "LCSW,LCAS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "C010223",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "LCASA-21289",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942744792",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecaldwell@3cworks.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "2940 Breezewood Ave",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283035520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.