RELIEF INTEGRATED HEALTHCARE
NPI 1184143224
Nurse Practitioner - Psychiatric/Mental Health in Louisburg, NC

Active since September 10, 2017CLIA 34D2150633 · Waiver
109 JOLLY ST, LOUISBURG, NC 27549(919) 791-7745 Get Directions Write a Review

NPPES record last updated: September 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Relief Integrated Healthcare NPPES

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

RELIEF INTEGRATED HEALTHCARE (NPI 1184143224) is a healthcare organization registered as a psychiatric/mental health in Louisburg, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Connie Hicks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184143224
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRELIEF INTEGRATED HEALTHCARE
Location Address109 JOLLY STLouisburg, NC 27549-2239
Mailing Address3213 Jesella DrRaleigh, NC 27610-5556 · (919) 422-2359
Organization SubpartNo
Authorized OfficialConnie HicksCeo · (919) 422-2359
Enumeration DateSeptember 10, 2017
✔ NPI 1184143224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5004262
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5004262 (NC)
109 JOLLY ST, Louisburg, NC 27549

Other Identifiers 1

Medicaid7004376NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Relief Integrated Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Relief Integrated Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1649418971
3801 LAKE BOONE TRL SUITE G
Raleigh, NC 27607
(919) 865-8710
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2150633

Relief Integrated Health Care · Louisburg, NC
Active · expires Jun 10, 2028
CLIA Number34D2150633
Laboratory TypeIntegrated Clinic
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorConnie Hicks
Laboratory Phone(919) 729-1708
Laboratory LocationRelief Integrated Health Care109 Jolly Street, Louisburg, NC 27549
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Relief Integrated Healthcare's NPI number?

The NPI number for Relief Integrated Healthcare is 1184143224. It was assigned to this organization in the NPPES registry on September 10, 2017.

Where is Relief Integrated Healthcare located?

Relief Integrated Healthcare is located at 109 Jolly St, Louisburg, NC 27549. The listed phone number is (919) 791-7745.

What is Relief Integrated Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Relief Integrated Healthcare enrolled in Medicare?

Yes. Relief Integrated Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Relief Integrated Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Relief Integrated Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Relief Integrated Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2150633) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Relief Integrated Healthcare was last updated on September 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.