MR. WILLIAM ASHLEY MIZELLE JR. LCAS,LCMHC,CCS
NPI 1154497220
Counselor - Addiction (Substance Use Disorder) in Greenville, NC

Q: What is William Mizelle's NPI number?

The NPI number for William Mizelle is 1154497220. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is William Mizelle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for William Mizelle was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2006PECOS Enrolled

2602 COURTIER DR, GREENVILLE, NC 27834(252) 752-0483(252) 757-3172 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. William Ashley Mizelle Jr. Lcas,lcmhc,ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM ASHLEY MIZELLE JR. LCAS,LCMHC,CCS (NPI 1154497220) is an individual addiction (substance use disorder) provider in Greenville, North Carolina, licensed in North Carolina (1061) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1154497220

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. WILLIAM ASHLEY MIZELLE JR.Credential: LCAS,LCMHC,CCS

Location Address2602 COURTIER DRGreenville, NC 27834-7818

Mailing Address1492 Tull RdGreenville, NC 27858-8366 · (252) 814-5441

Phone(252) 752-0483

Fax(252) 757-3172

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 28, 2006

Last NPPES UpdateOctober 23, 2023

NPPES CertifiedOctober 23, 2023

✔ NPI 1154497220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in NC · 1061✔ Licensed in NC · 10014

Also ListedCounselorTaxonomy 101Y00000X · License 6860 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6860 (NC)

2602 COURTIER DR, Greenville, NC 27834

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Other Identifiers 3

Medicaid6111889NC

Other191488NC · Medcost

Other143KYNC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Ashley Mizelle Jr. Lcas,lcmhc,ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981056579

PECOS Enrollment IDI20240119000035

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

26 services16 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

19 services19 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA RENEE CONNER MS, LPC, LCAS

Counselor (Addiction (Substance Use Disorder))