Nicole Isabella Burley, MA, LCMHC in Wilmington, NC

Nicole Isabella Burley, MA, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Wilmington, North Carolina. Her current practice location is 2460 Delaney Ave, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 407-9473.

Nicole Isabella Burley is licensed to practice in North Carolina (license number 18678) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336892165.

Contact Information

	Nicole Isabella Burley, MA, LCMHC
	2460 Delaney Ave, Wilmington, NC 28403-6062
	(910) 407-9473
	(910) 312-3632

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Isabella Burley
Gender	Female
Speciality	Counselor - Mental Health
Location	2460 Delaney Ave, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336892165
Provider Enumeration Date: 02/01/2022
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6406298470
Enrollment ID: I20240522000652

Medical Identifiers

Medical identifiers for Nicole Isabella Burley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336892165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	18678 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Isabella Burley allows following entities to bill medicare on her behalf.

Entity Name	Tmc Professional Counseling Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821706946 PECOS PAC ID: 2961865936 Enrollment ID: O20230824001833

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Isabella Burley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Isabella Burley, MA, LCMHC 2460 Delaney Ave, Wilmington, NC 28403-6062 Ph: (910) 407-9473	Nicole Isabella Burley, MA, LCMHC 2460 Delaney Ave, Wilmington, NC 28403-6062 Ph: (910) 407-9473

Reviews and Comments

Counselor in Wilmington, NC

Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214
Emily Kohls, LCMHC-A, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3133 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-742-0489 Fax: 910-726-3979

Nicole Isabella Burley, MA, LCMHC - Medicare Counselor in Wilmington, NC