NPIMap

Organization Active NPI

Nellie Health PLLC

Doing business as NC Therapy

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1194595512
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NELLIE HEALTH PLLC
Doing business as
NC Therapy
Practice address
8045 Arco Corporate Dr
Raleigh, NC 27617-2025
Phone
(919) 397-4592
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ian Gabriel CollinsNPI 1760843486
Title
Clinical Director
Phone
(336) 404-2215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8045 Arco Corporate Dr
Raleigh, NC 27617-2025

Mailing address

8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026

Other names 1

  • NC Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717000331 NC Part B Supplier - Clinic/Group Practice 1557806338 Receives reassigned benefits from 6 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

8045 Arco Corporate Dr
Raleigh, NC 27617
Phone (919) 397-4592

8045 Arco Corporate Dr
Ste 120
Raleigh, NC 27617
Phone (919) 346-7600

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1194595512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 ARCO CORPORATE DR STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ARCO CORPORATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172025",
            "telephone_number": "919-397-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-404-2215"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NC Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.