MR. CLINTON STAFFORD BOLTON III LPC; LCMHC
NPI 1467780627
Counselor - Professional in Cary, NC
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Clinton Bolton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Clinton Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Bolton reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clinton Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Clinton Stafford Bolton III, LPC; LCMHC · NPI 1467780627
Professional provider in Cary, North Carolina. Individual provider, active in the CMS NPPES registry since November 30, 2009.
## Identity
- **NPI:** 1467780627 (Entity type: Individual)
- **Enumerated:** November 30, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7631 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 REGENCY PKWY, Cary, NC 27518-8549
- **Phone:** (919) 467-3831
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467780627) · Data from the CMS NPPES public registry.