Russell Clay Curtis, PH.D. – Professional Counselor

Key facts

NPI: 1073780946
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 4175 (NC)
Practice address: 17 Star Berry LN
Fairview, NC 28730-0337
Phone: (828) 736-5486
NPI assigned: May 9, 2008
Sex: Male
Sole proprietor: No

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.

Healing Grounds PLLC Professional Counselor · Fairview, NC · NPI 1104503911

NPD PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
4175	NC	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Healing Grounds PLLC	Professional	Current since Dec 14, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	4175	NC	Yes

Addresses

Primary practice location

17 Star Berry LN
Fairview, NC 28730-0337

Mailing address

15 S Wildwood LN
Fletcher, NC 28732-8546
Phone (828) 606-9237

Other practice location 1

15 S Wildwood Ln
Fletcher, NC 28732-8546
Phone (828) 687-8575

Other providers in Fairview, NC

All providers in Fairview, NC · Professional Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.