Organization Active NPI

August Commons LLC

  • Social Worker
  • Raleigh, NC
National Provider Identifier
1194562736
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
AUGUST COMMONS LLC
Practice address
152 Wind Chime CT
Raleigh, NC 27615-6433
Phone
(800) 574-8511
Fax
(888) 245-5107
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Ms. Crystal Denee Bush, LCSW LISW-CP LCAS
Title
Clinical Director
Phone
(984) 292-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

152 Wind Chime CT
Raleigh, NC 27615-6433

Mailing address

109 Marianna PL
Garner, NC 27529-7683
Phone (984) 292-4235

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1194562736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARIANNA PL",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297683",
            "telephone_number": "984-292-4235",
            "fax_number": "888-245-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156433",
            "telephone_number": "800-574-8511",
            "fax_number": "888-245-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST COMMONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DENEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "984-292-4235",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW LISW-CP LCAS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.