Active NPI
Good Fruit Outreach
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1730766981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOOD FRUIT OUTREACH
- Practice address
- 110 Cude St
Fayetteville, NC 28306-2902 - Phone
- (743) 261-2480
- NPI assigned
- Mar 25, 2021
- Last updated
- Jun 22, 2026
- 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
- Leandra Salley, MSW
- Title
- Director
- Phone
- (743) 261-2480
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
110 Cude St
Fayetteville, NC 28306-2902
Mailing address
110 Cude St
Fayetteville, NC 28306-2902
Phone (743) 261-2480
National Provider Directory
National Provider Directory- Tax ID family
- Good Fruit Outreach
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1760316806
Locations
110 Cude St
Fayetteville, NC 28306
Phone (743) 261-2480
123 Institute St
Unit 493
Mooresville, NC 28115
421 Parker Ave
Ste A
Mooresville, NC 28115
Phone (980) 234-9847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1730766981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CUDE ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062902",
"telephone_number": "743-261-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CUDE ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062902",
"telephone_number": "743-261-2480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD FRUIT OUTREACH",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "SALLEY",
"authorized_official_first_name": "LEANDRA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "743-261-2480",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.