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

Mr. William Ashley Mizelle Jr., LCAS, LCMHC, CCS

Individual provider Counselor · NPI 1154497220

Mr. William Ashley Mizelle Jr., LCAS, LCMHC, CCS is a Mental Health Counselor in Greenville, North Carolina. Qualified in 2004, 22 years ago. Offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2602 Courtier Dr
Greenville, NC 27834-7818
Phone: (252) 752-0483
Fax: (252) 757-3172
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1061 (NC)
Counselor Taxonomy 101Y00000X · Licence 6860 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10014 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6860 (NC)

Record details

NPI number1154497220
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS , LCMHC , CCS
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Greenville