Clinton Stafford Bolton III, LPC; LCMHC
NPI 1467780627ActiveIndividual· Counselor, Professional· Cary, NC
Counselor, Professional (LPC; LCMHC) with North Carolina Mg LLC, practicing in Cary, North Carolina. Medicare paid $1,671 for services to 17 patients in 2024.
Overview
| NPI | 1467780627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC; LCMHC |
| Sole proprietor | No |
| NPI issued | Nov 30, 2009 |
| Last updated in NPPES | Feb 16, 2024 |
| Certified by provider | Feb 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 7631 | NC |
| Counselor, Mental Health | 101YM0800X | 7631 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 35 across 4 procedure codes |
| Paid by Medicare | $1,671 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- North Carolina Mg LLCRaleigh, NC · 751 clinicians
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All 106 professional counselors in Cary · All professional counselors in North Carolina