Common Ground Support

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COMMON GROUND SUPPORT

Doing business as

Common Ground Support

Practice address

699 Salisbury Rd
Hendersonville, NC 28792-8524

Phone

(732) 685-2991

NPI assigned

Aug 25, 2023

Last updated

Sep 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan Tyrone RogersNPI 1588201610

Title

Owner

Phone

(732) 685-2991

Specialties & licenses 2

Addresses

Other names 1

• Common Ground Support Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Rogers

  • Behavior Analyst
  • Daytona Beach, FL
  • NPI 1588201610
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1093590465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 FREMONT AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146071",
            "telephone_number": "732-685-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 SALISBURY RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287928524",
            "telephone_number": "732-685-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-685-2991"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Common Ground Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.