Nicole Isabella Burley, MA, LCMHC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18678 Issued in NC

Practice address

2460 Delaney Ave
Wilmington, NC 28403-6062

Phone

(910) 407-9473

Fax

(910) 312-3632

NPI assigned

Feb 1, 2022

Last updated

Sep 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Professional Counseling ServiceGroup PAC ID 2961865936, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TMC Professional Counseling Service

  dba Sea Glass Counseling Collaborative

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1821706946
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1336892165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-399-1695",
            "fax_number": "910-207-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036062",
            "telephone_number": "910-407-9473",
            "fax_number": "910-312-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "NICOLE",
        "middle_name": "ISABELLA",
        "credential": "MA, LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Burgess
• Ericca Burke, LAC
• Jessica Burkett, MD
• Korbi Burkey
• Aric E Burks, LPC
• Gregory A Burnett, PT
• Julian Burnette
• Kendal Carter Burnette, MD
• Leigha Rae Burns
• Riley Williams Burns, RDN

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.