Nicole Leigh Korell, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17075 Issued in NC

Practice address

9370 Falls of Neuse Rd Ste 203
Raleigh, NC 27615-2487

Phone

(910) 227-9812

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nextgen Behavioral Therapy, PLLC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1275304354
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1508529405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 WISDOM DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190965",
            "telephone_number": "406-868-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 FALLS OF NEUSE RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152487",
            "telephone_number": "910-227-9812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Pennsylvania Ave Ste 54",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283875429",
            "country_code": "US",
            "telephone_number": "910-227-9812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORELL",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Theresa Kooser, PHARMD, CPP
• Brittany Alexa Kopec, DC
• Aaron Christopher Kopp, PA-C
• Pallavi Kopparthy, M.D.
• Charles David Korba, DPM
• Koren & Associates DDS II PA
• Koren & Associates DDS III PA
• Pamela H Koretsky, LCSW
• Rachel Catherine Kormos, OD
• Tasha L Kornegay, PHD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Oct 18, 2021; 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.