SAMUEL GARETH COLLIS LCMHCA
NPI 1033951074
Counselor - Mental Health in Raleigh, NC

Q: What is Samuel Collis's NPI number?

The NPI number for Samuel Collis is 1033951074. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Samuel Collis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Collis was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2024

3021 BERKS WAY STE 101, RALEIGH, NC 27614(919) 554-4027 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Samuel Gareth Collis Lcmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GARETH COLLIS LCMHCA (NPI 1033951074) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (A20111) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1033951074

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMUEL GARETH COLLISCredential: LCMHCA

Location Address3021 BERKS WAY STE 101Raleigh, NC 27614-6775

Mailing Address308 Friendship Chapel RdWake Forest, NC 27587-7388

Phone(919) 554-4027

Sole ProprietorNo

Enumeration DateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1033951074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A20111

3021 BERKS WAY STE 101, Raleigh, NC 27614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELSEY HAMILTON PHD, LMFT-A

Marriage & Family Therapist

3021 BERKS WAY STE 101
RALEIGH, NC 27614

Wake County (919) 285-4802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Collis's NPI number?

The NPI number for Samuel Collis is 1033951074. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Samuel Collis located?

Samuel Collis practices at 3021 Berks Way Ste 101, Raleigh, NC 27614. The listed phone number is (919) 554-4027.

What is Samuel Collis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Samuel Collis accept?

Health plans from Blue Cross and Blue Shield of NC list Samuel Collis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Collis was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.