Asburry Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ASBURRY GROUP LLC

Practice address

34406 N 27TH Dr Ste 140
Phoenix, AZ 85085-6079

Phone

(602) 402-1711

NPI assigned

Apr 17, 2021

Organization subpart

No

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

Authorized official

Name

Kelley Asburry, LCSW

Title

Therapist

Phone

(602) 402-1711

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• North Valley Center for Hope Other name

Electronic endpoints 1

Locations

Practitioners 2

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

• Kelley Lynn Reynolds, LCSW

  • Clinical Social Worker
  • Windsor, CO
  • NPI 1902180813
  NPD
• Kendra Anderson, LPC, NCC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1497496723
  NPD (past)

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1700467149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856079",
            "telephone_number": "602-402-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856079",
            "telephone_number": "602-402-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "ASBURRY",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "602-402-1711",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, CIGNA",
            "identifier": "1700467149",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelley@northvalleycenterforhope.com",
            "affiliation": "N",
            "address_1": "34406 N 27th Dr Ste 140",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850856079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Valley Center for Hope",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "North Valley Center for Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.