SEL GROUP
NPI 1407012966
Community/Behavioral Health in Fayetteville, NC
About Sel Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEL GROUP (NPI 1407012966) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since August 2008. The organization lists Keith Funderburk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sel Group 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 Sel Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sel Group's NPI number?
The NPI number for Sel Group is 1407012966. It was assigned to this organization in the NPPES registry on August 4, 2008. The provider is also known as The Social and Emotional Learning Group, PLLC.
Where is Sel Group located?
Sel Group is located at 3612 Cranbrook Dr, Fayetteville, NC 28301. The listed phone number is (336) 285-7173.
What is Sel Group's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Sel Group enrolled in Medicare?
Yes. Sel Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sel Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Sel Group. 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.
When was this NPI record last updated?
The NPPES record for Sel Group was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Sel Group · NPI 1407012966
Community/Behavioral Health organization in Fayetteville, North Carolina. Organization record, active in the CMS NPPES registry since August 4, 2008.
## Identity
- **NPI:** 1407012966 (Entity type: Organization)
- **Enumerated:** August 4, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** The Social and Emotional Learning Group, PLLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Keith Funderburk, OWNER
## Practice location
- **Address:** 3612 CRANBROOK DR, Fayetteville, NC 28301
- **Phone:** (336) 285-7173 · **Fax:** (336) 285-7174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407012966) · Data from the CMS NPPES public registry.