NPIMap

Organization Active NPI

Olive Grove Counseling PLLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1184345845
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVE GROVE COUNSELING PLLC
Practice address
312 Weslyn Trace Dr
Durham, NC 27703-2908
Phone
(984) 664-2605
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Sarah Elizabeth Fine, LCSWNPI 1467086801
Title
Owner
Phone
(984) 664-2605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

312 Weslyn Trace Dr
Durham, NC 27703-2908

Mailing address

312 Weslyn Trace Dr
Durham, NC 27703-2908
Phone (984) 664-2605

Other practice location 1

2004 Historic Cir
Morrisville, NC 27560-8175
Phone (984) 664-2605

Other names 1

  • Olive Grove Counseling LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1184345845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WESLYN TRACE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032908",
            "telephone_number": "984-664-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WESLYN TRACE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032908",
            "telephone_number": "984-664-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Historic Cir",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608175",
            "country_code": "US",
            "telephone_number": "984-664-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE GROVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-664-2605",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Grove Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.