Active NPI
Garland L Sauls Jr., LCAS
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
National Provider Identifier
1396850764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 808
- Practice address
- 402 Trent Drive
Durham, NC 27705 - Phone
- (919) 668-5559
- Fax
- (919) 668-4496
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 808 | NC | Primary |
Addresses
Primary practice location
402 Trent Drive
Durham, NC 27705
Mailing address
PO Box 2906
Durham, NC 27710
Phone (919) 668-4497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111770 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396850764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2906",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-668-4497",
"fax_number": "919-668-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 TRENT DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-668-5559",
"fax_number": "919-668-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAULS",
"first_name": "GARLAND",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111770",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.