College Lakes
NPI 1841612215 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayetteville, NC
College Lakes is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Fayetteville, NC (NPI 1841612215).
Provider details
- NPI number
- 1841612215
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Shinelight, Inc.
- Organization subpart
- Yes
- Authorized official
- Nikki Creecy, Ceo(910) 257-6406
- License
- MHL-047-133 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-047-133 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-20
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Frequently asked questions
- What is College Lakes's NPI number?
- College Lakes's National Provider Identifier (NPI) is 1841612215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Lakes?
- College Lakes is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is College Lakes located?
- College Lakes's practice location on file with NPPES is 5104 Flatrock Drive, Fayetteville, NC 28311.
- What is College Lakes's phone number?
- The practice phone number listed in the NPPES registry for College Lakes is (910) 488-6323.
- Who is the authorized official for College Lakes?
- The authorized official listed on College Lakes's NPPES record is Nikki Creecy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Lakes's NPI active?
- Yes — College Lakes's NPI (1841612215) is active in the NPPES registry as of the last update on 2021-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.