Michael Grayson, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15666 Issued in NC

Practice address

324 Person St
Fayetteville, NC 28301-5736

Phone

(910) 438-0939

NPI assigned

Jun 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1134684392
  NPD (past)

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1093330177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015736",
            "telephone_number": "910-438-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015736",
            "telephone_number": "910-438-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "MICHAEL",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gray, PHARMD
• Emily Gray
• Samantha Gray
• Grays ABA Therapy LLC
• Grays Home Care LLC
• Nancy Grayson, CRNA
• William Christopher Grayson, DO
• Great Expectation Day Facility and Enrichment Program
• Great Expectations Mental Health Services Inc
• Great Expectations Mental Health Services, Inc.

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.