Active NPI
Lauren Marie Gallison, M.S., LPCA
- Mental Health Counselor
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8586
- Practice address
- 280 Broad St Ste E
Kernersville, NC 27284-2948 - Phone
- (336) 277-6050
- Fax
- (336) 992-3141
- NPI assigned
- Oct 30, 2009
- Last updated
- Aug 21, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8586 | NC | Primary |
Addresses
Primary practice location
280 Broad St Ste E
Kernersville, NC 27284-2948
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 277-6050
Other practice location 1
110 W Walker Ave
Asheboro, NC 27203-6760
Phone (336) 633-7000 ext. 2414
Other names 1
- Lauren Marie Grigg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8586 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
280 Broad St
Ste E
Kernersville, NC 27284
Phone (336) 277-6050
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
6620 Shallowford Rd
#200
Lewisville, NC 27023
Phone (336) 757-0258
512 Village Rd
Ste 104
Shallotte, NC 28470
Phone (910) 721-4200
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921
140 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 718-3550
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Networks
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba NH Forsyth Psychiatric Clinics
- Psychiatry Physician
- Winston Salem, NC
- NPI 1194447805
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba NHMG Psychiatric Clinics
- Psychiatry Physician
- Huntersville, NC
- NPI 1588387211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1003142779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-277-6050",
"fax_number": "336-992-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BROAD ST STE E",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842948",
"telephone_number": "336-277-6050",
"fax_number": "336-992-3141"
}
],
"practiceLocations": [
{
"address_1": "110 W Walker Ave",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272036760",
"country_code": "US",
"telephone_number": "336-633-7000 x2414",
"fax_number": "336-625-3817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLISON",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "M.S., LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "GRIGG",
"middle_name": "MARIE",
"credential": "M.S., QP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.