Individual provider Active NPI

Julia Massarelli, LCMHC, PLLC

  • Counselor
  • Raleigh, NC
National Provider Identifier
1447529177
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8650 Issued in NC
Practice address
4105 City of Oaks Wynd
Raleigh, NC 27612-5312
Phone
(919) 621-5735
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8650 NC Primary

Addresses

Primary practice location

4105 City of Oaks Wynd
Raleigh, NC 27612-5312

Mailing address

4105 City of Oaks Wynd
Raleigh, NC 27612-5312
Phone (919) 621-5735

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240120000056 NC Practitioner - Mental Health Counselor 0648622142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4105 City of Oaks Wynd
Raleigh, NC 27612-5312
Phone (919) 621-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Massarelli Lcmhc PLLC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1447529177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 CITY OF OAKS WYND",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125312",
            "telephone_number": "919-621-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 CITY OF OAKS WYND",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125312",
            "telephone_number": "919-621-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARELLI",
        "first_name": "JULIA",
        "credential": "LCMHC, PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "8650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.