MR. CLINTON STAFFORD BOLTON III LPC; LCMHC
NPI 1467780627
Counselor - Professional in Cary, NC

Active since November 30, 2009PECOS EnrolledAccepts Medicare Assignment
2500 REGENCY PKWY, CARY, NC 27518(919) 467-3831 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clinton Stafford Bolton Iii Lpc; Lcmhc NPPES

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

MR. CLINTON STAFFORD BOLTON III LPC; LCMHC (NPI 1467780627) is an individual professional provider in Cary, North Carolina, licensed in North Carolina (7631) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467780627
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CLINTON STAFFORD BOLTON IIICredential: LPC; LCMHC
Location Address2500 REGENCY PKWYCary, NC 27518-8549
Mailing Address2500 Regency PkwyCary, NC 27518-8549 · (919) 467-3831
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 30, 2009
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1467780627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 7631
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7631 (NC)
2500 REGENCY PKWY, Cary, NC 27518

Secondary Practice Location 1

Location 14207 Lake Boone Trl Ste 100Raleigh, NC 27607-6685 · Phone (919) 784-7874

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Clinton Stafford Bolton Iii Lpc; Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244459295
PECOS Enrollment IDI20240301001743
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

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.

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.
11 services11 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.

Non-emergency Medical Transport (VAN)
2500 REGENCY PKWY
CARY, NC 27518
Behavior Analyst
2500 REGENCY PKWY
CARY, NC 27518
Family Medicine (Sleep Medicine)
2500 REGENCY PKWY
CARY, NC 27518
Counselor (Mental Health)
2500 REGENCY PKWY
CARY, NC 27518
Family Medicine (Sleep Medicine)
2500 REGENCY PKWY
CARY, NC 27518
Social Worker (Clinical)
2500 REGENCY PKWY
CARY, NC 27518
Home Health Aide
2500 REGENCY PKWY
CARY, NC 27518
Psychologist (Exercise & Sports)
2500 REGENCY PKWY
CARY, NC 27518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Bolton's NPI number?

The NPI number for Clinton Bolton is 1467780627. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Where is Clinton Bolton located?

Clinton Bolton practices at 2500 Regency Pkwy, Cary, NC 27518. The listed phone number is (919) 467-3831.

What is Clinton Bolton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Clinton Bolton enrolled in Medicare?

Yes. Clinton Bolton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Bolton accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Clinton Bolton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Bolton was last updated on February 16, 2024. 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.