ELIZABETH MICHELLE ANDERSON LPC
NPI 1629485412
Counselor - Mental Health in Fayetteville, NC

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
711 EXECUTIVE PL FL 3, FAYETTEVILLE, NC 28305(910) 860-7008(910) 221-9006 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2025, May 15, 2025, Mar 25, 2025 and 1 more (4 updates tracked since 2017).

About Elizabeth Michelle Anderson Lpc NPPES

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

ELIZABETH MICHELLE ANDERSON LPC (NPI 1629485412) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (10959) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629485412
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH MICHELLE ANDERSONCredential: LPC
Location Address711 EXECUTIVE PL FL 3Fayetteville, NC 28305-5193
Mailing Address118 Saint George DrRaeford, NC 28376-6685 · (910) 987-2180
Fax(910) 221-9006
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 14, 2014
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1629485412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 10959
711 EXECUTIVE PL FL 3, Fayetteville, NC 28305

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

Elizabeth Michelle Anderson Lpc 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 ID1355866658
PECOS Enrollment IDI20250419000052
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.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Psychiatry & Neurology (Psychiatry)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305
Psychiatry & Neurology (Psychiatry)
711 EXECUTIVE PL FL 3
FAYETTEVILLE, NC 28305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629485412, enumerated as an "individual" on July 14, 2014.

The provider is located at 711 EXECUTIVE PL FL 3 FAYETTEVILLE, NC 28305 and the phone number is (910) 860-7008.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.