Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clinton Stafford Bolton III, LPC, LCMHC

Individual provider Mental Health Counselor · NPI 1467780627

Mr. Clinton Stafford Bolton III, LPC, LCMHC is a Mental Health Counselor in Cary, North Carolina. Qualified in 2013, 13 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2500 Regency Pkwy
Cary, NC 27518-8549
Phone: (919) 467-3831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4207 Lake Boone Trl Ste 100, Raleigh, NC 27607-6685 — (919) 784-7874

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7631 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 7631 (NC)

Record details

NPI number1467780627
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LCMHC
Sole proprietorNo
NPI enumeratedNovember 30, 2009
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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