Marissa Carey Grant, MA, LCMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16932 Issued in NC

Practice address

7401 Carmel Executive Park Dr Ste 210
Charlotte, NC 28226-0406

Phone

(704) 752-8414

Fax

(704) 544-1109

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 10, 2024 through Oct 10, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Carolinas Counseling Group of Charlotte, Inc.

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1558335679
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1174288146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260406",
            "telephone_number": "704-752-8414",
            "fax_number": "704-544-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260406",
            "telephone_number": "704-752-8414",
            "fax_number": "704-544-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MARISSA",
        "middle_name": "CAREY",
        "name_prefix": "Ms.",
        "credential": "MA, LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Elizabeth Grant, PTA
• Krystal Grant
• Lisa Ann Grant, PT, SCS, LAT, ATC
• Makayla Grant
• Maria Janae Grant
• Micheala Keisha Grant, LMT
• Michelle Julittee Grant
• Shelby Paige Grant, FNP-BC
• Kelly D Grantham, OTR/L
• Graper Cosmetic Surgery

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.