Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

College Lakes

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC · enumerated 2014 · authorized official Nikki Creecy, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841612215

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Registry record

Entity type Organization (Type 2)

Legal business name College Lakes

Parent organization Shinelight, Inc.

Practice address 5104 Flatrock Drive, Fayetteville, NC, 28311

Phone (910) 488-6323

Fax (910) 223-2180

Enumeration date Jan 20, 2014

Last updated in NPPES Apr 21, 2021

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License MHL-047-133 (NC) Primary

Authorized official

Name Nikki Creecy

Title Ceo

Phone (910) 257-6406

Other identifiers

Identifier	Type	State	Issuer
3418071	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-21. Verify at npiregistry.cms.hhs.gov.

Where is College Lakes located?

The practice location on file with NPPES is in Fayetteville, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-21.