Active NPI
Saguaro Group LLC
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1780974683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SAGUARO GROUP LLC
- Practice address
- 2800 Breezewood Ave
Ste 100
Fayetteville, NC 28303-5282 - Phone
- (910) 483-8213
- Fax
- (910) 483-8214
- NPI assigned
- Apr 12, 2011
- 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
- Harold E Jones Jr.
- Title
- President
- Phone
- (919) 256-0824
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2800 Breezewood Ave
Ste 100
Fayetteville, NC 28303-5282
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824
Other names 1
- Community Innovations, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1780974683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 FAIRHILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123215",
"telephone_number": "919-256-0824",
"fax_number": "919-256-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BREEZEWOOD AVE",
"address_2": "STE 100",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035282",
"telephone_number": "910-483-8213",
"fax_number": "910-483-8214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGUARO GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-12",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-256-0824",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Innovations, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.