New Heritage Collective, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW HERITAGE COLLECTIVE, LLC

Practice address

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Phone

(704) 970-8200

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Jesse Tall

Title

Founder/Manager

Phone

(704) 975-6118

Specialties & licenses 1

Addresses

Tax ID family

New Heritage Collective LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Heritage Collective, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
  • NPI 1023931813
  NPD tax ID

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1366367690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23194",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282270274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "704-970-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HERITAGE COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "TALL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "FOUNDER/MANAGER",
        "authorized_official_telephone_number": "704-975-6118"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.