Organization Active NPI

Burrell Counseling Group, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1225522311
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008463 Issued in NC
Legal business name
BURRELL COUNSELING GROUP, PLLC
Practice address
5834 Faringdon PL Ste 100
Raleigh, NC 27609
Phone
(919) 295-0596
Fax
(919) 249-7697
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Scotia Burrell, MSW, LCSW
Title
Owner
Phone
(919) 295-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C008463 NC Primary

Addresses

Primary practice location

5834 Faringdon PL Ste 100
Raleigh, NC 27609

Mailing address

5834 Faringdon PL Ste 100
Raleigh, NC 27609-3930
Phone (919) 295-0596

Other practice location 1

5834 Faringdon Pl Ste 100
Raleigh, NC 27609
Phone (919) 295-0596

National Provider Directory

National Provider Directory

Locations

5834 Faringdon Pl
Ste 100
Raleigh, NC 27609
Phone (919) 295-0596

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1225522311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 FARINGDON PL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930",
            "telephone_number": "919-295-0596",
            "fax_number": "919-249-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 FARINGDON PL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-295-0596",
            "fax_number": "919-249-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5834 Faringdon Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27609",
            "country_code": "US",
            "telephone_number": "919-295-0596",
            "fax_number": "919-249-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURRELL COUNSELING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "SCOTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-295-0596",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.