Active NPI
Stephanie Jackson Grier, MA, LCAS, CADC
- Addiction (Substance Use Disorder) Counselor
- Gastonia, NC
National Provider Identifier
1023551512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13273
- Practice address
- 1566 Union Rd Ste B
Gastonia, NC 28054-5301 - Phone
- (704) 968-0935
- NPI assigned
- Dec 1, 2016
- Last updated
- Mar 22, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13273 | NC | Primary |
Addresses
Primary practice location
1566 Union Rd Ste B
Gastonia, NC 28054-5301
Mailing address
2000 Castleton CT Apt D
Belmont, NC 28012-2278
Phone (704) 968-0935
Other practice location 1
6900 Farmingdale Dr
Charlotte, NC 28212-5551
Phone (704) 536-6853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13273 | Other | NC | NCSAPPB |
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 |
|---|---|---|---|
| 13273 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Clinical Innovations, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Epiphany Family Services, LLC | Past | Accepting new patients |
Locations
1566 Union Rd
Ste B
Gastonia, NC 28054
Phone (704) 751-6584
Organizations & group practices 3
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.
-
- Addiction (Substance Use Disorder) Counselor
- Gastonia, NC
- NPI 1447944608
-
- Community/Behavioral Health Agency
- Mount Holly, NC
- NPI 1841569621
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1255640645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1023551512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CASTLETON CT APT D",
"city": "BELMONT",
"state": "NC",
"postal_code": "280122278",
"telephone_number": "704-968-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1566 UNION RD STE B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545301",
"telephone_number": "704-968-0935"
}
],
"practiceLocations": [
{
"address_1": "6900 Farmingdale Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282125551",
"country_code": "US",
"telephone_number": "704-536-6853",
"fax_number": "704-445-4582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIER",
"first_name": "STEPHANIE",
"middle_name": "JACKSON",
"credential": "MA, LCAS, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "13273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSAPPB",
"identifier": "13273",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.