Active NPI
Selah Therapy Collective, PLLC
- Clinical Social Worker
- Clayton, NC
National Provider Identifier
1124931456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SELAH THERAPY COLLECTIVE, PLLC
- Practice address
- 247 E Tecoma LN
Clayton, NC 27520-8785 - Phone
- (919) 341-9196
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Autumn Schoonover, LCSW, LISW-CP
- Title
- Owner
- Phone
- (919) 341-9196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
247 E Tecoma LN
Clayton, NC 27520-8785
Mailing address
247 E Tecoma LN
Clayton, NC 27520-8785
Phone (919) 341-9196
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Clayton, NC
- NPI 1861912065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790380800000",
"number": "1124931456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 E TECOMA LN",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208785",
"telephone_number": "919-341-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 E TECOMA LN",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208785",
"telephone_number": "919-341-9196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAH THERAPY COLLECTIVE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A",
"authorized_official_last_name": "SCHOONOVER",
"authorized_official_first_name": "AUTUMN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-341-9196",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW, LISW-CP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.