Individual provider Active NPI

Greta Enriquez, LCMHC

  • Mental Health Counselor
  • Emerald Isle, NC
National Provider Identifier
1003213117
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15007 Issued in NC
Practice address
7901 Emerald Dr Ste 3
Emerald Isle, NC 28594-2880
Phone
(252) 515-0557
Fax
(252) 376-1473
NPI assigned
Dec 4, 2014
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00212800 NJ
Mental Health Counselor 101YM0800X 15007 NC Primary

Addresses

Primary practice location

7901 Emerald Dr Ste 3
Emerald Isle, NC 28594-2880

Mailing address

7901 Emerald Dr Ste 3
Emerald Isle, NC 28594-2880
Phone (252) 515-0557

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002345 NC Practitioner - Mental Health Counselor 1951844240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7901 Emerald Dr
Suite 3
Emerald Isle, NC 28594-2880
Phone (252) 515-0557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15007NCMDMental Health Counselor
37AC00212800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sagestone PLLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

7901 Emerald Dr
Ste 3
Emerald Isle, NC 28594
Phone (252) 515-0557

8101 Emerald Dr
#B
Emerald Isle, NC 28594
Phone (252) 515-0557

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1003213117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 EMERALD DR STE 3",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942880",
            "telephone_number": "252-515-0557",
            "fax_number": "252-376-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 EMERALD DR STE 3",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942880",
            "telephone_number": "252-515-0557",
            "fax_number": "252-376-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "GRETA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00212800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerald Isle, NC

Sources for this page

Verify at the official NPI Registry.