Active NPI
Gracie Lynne McCarroll, LCMHC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1164070173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14987
- Practice address
- 4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857 - Phone
- (828) 989-7022
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14987 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 14987 | NC |
Addresses
Primary practice location
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Mailing address
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone (828) 989-7022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14987 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracie McCarroll, PLLC | Current | Accepting new patients |
Locations
1 Roberts St
Ste 131
Asheville, NC 28801
101 Glen Lennox Dr
Unit 300
Chapel Hill, NC 27517
Phone (561) 203-6085
4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1497302921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1164070173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVE STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123857",
"telephone_number": "828-989-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVE STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123857",
"telephone_number": "828-989-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARROLL",
"first_name": "GRACIE",
"middle_name": "LYNNE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14987",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14987",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.