Active NPI
Mark Grega, MA, LCMHC
- Mental Health Counselor
- Mooresville, NC
National Provider Identifier
1003709882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15375
- Practice address
- 129 Sea Trail Dr
Mooresville, NC 28117-8493 - Phone
- (704) 677-5479
- NPI assigned
- May 31, 2025
- Sex
- Male
- 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 | 15375 | NC | Primary |
Addresses
Primary practice location
129 Sea Trail Dr
Mooresville, NC 28117-8493
Mailing address
129 Sea Trail Dr
Mooresville, NC 28117-8493
Phone (704) 677-5479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15375 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountains to Lake Counseling, PLLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Mooresville, NC
- NPI 1487542585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1003709882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SEA TRAIL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178493",
"telephone_number": "704-677-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 SEA TRAIL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178493",
"telephone_number": "704-677-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGA",
"first_name": "MARK",
"credential": "MA, LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-31",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.