Pearl Lavern Griffin, MA, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23328 Issued in NC

Practice address

7003 Wallace Rd Ste 100
Charlotte, NC 28212-6880

Phone

(704) 536-6853

Fax

(704) 536-6045

NPI assigned

Jun 20, 2017

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts

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.

• Infinity Behavioral and Developmental Health Services

  • Professional Counselor
  • Charlotte, NC
  • NPI 1619333093
  NPD (past) Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205356334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 WALLACE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126880",
            "telephone_number": "704-536-6853",
            "fax_number": "704-536-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WALLACE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126880",
            "telephone_number": "704-536-6853",
            "fax_number": "704-536-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "PEARL",
        "middle_name": "LAVERN",
        "credential": "MA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lytonya Dewanza Griffin
• Maura Claire Griffin
• Michael Griffin
• Myah Maria-Nelson Griffin, M.D.
• Nina Rosalinn Griffin
• Perry Raoul Griffin, LPCA
• Samantha Murray Griffin, NP
• Shauntae Rena Griffin, LCSWA
• Shelia Griffin
• Stephanie Nicole Griffin, AUD

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.