Active NPI
Wildflower Therapy Group
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1679307508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WILDFLOWER THERAPY GROUP
- Doing business as
- Wildflower Therapy Group
- Practice address
- 1301 Mountain Mill Dr Apt 302
Raleigh, NC 27614-6457 - Phone
- (919) 524-3390
- NPI assigned
- Sep 2, 2024
- Last updated
- Sep 2, 2024
- Organization subpart
- Yes
- Parent organization
- JACLYN SAPPAH THERAPY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaclyn Sappah, LCSW
- Title
- Ceo, Owner, Licensed Therapist
- Phone
- (919) 524-3390
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1301 Mountain Mill Dr Apt 302
Raleigh, NC 27614-6457
Mailing address
515 Bendemeer LN
Rolesville, NC 27571-9751
Phone (919) 524-3390
Other names 1
- Wildflower Therapy Group
National Provider Directory
National Provider Directory- Part of
- Wildflower Therapy Group
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Rolesville, NC
- NPI 1659654937
-
- Clinical Social Worker
- Matthews, NC
- NPI 1245077437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1679307508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BENDEMEER LN",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719751",
"telephone_number": "919-524-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MOUNTAIN MILL DR APT 302",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146457",
"telephone_number": "919-524-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDFLOWER THERAPY GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACLYN SAPPAH THERAPY PLLC",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "SAPPAH",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "CEO, OWNER, LICENSED THERAPIST",
"authorized_official_telephone_number": "919-524-3390",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wildflower Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 2, 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.