Active NPI
August Commons LLC
- Social Worker
- Raleigh, NC
National Provider Identifier
1194562736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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 DirectoryNPI 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.