Organization Active NPI

Grace Counseling Centers

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1215293402
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004335 Issued in VA
Legal business name
GRACE COUNSELING CENTERS
Practice address
301 Maycox Ave
Norfolk, VA 23505-3420
Phone
(757) 277-6347
Fax
(757) 277-0181
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Dr. Mattie Brown Davis, LPCNPI 1376781849
Title
Professional Counselor
Phone
(757) 386-8578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701004335 VA Primary

Addresses

Primary practice location

301 Maycox Ave
Norfolk, VA 23505-3420

Mailing address

301 Maycox Ave
Norfolk, VA 23505-3420
Phone (757) 277-6347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028004104 VA Part B Supplier - Clinic/Group Practice 1052800240 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

3707 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 927-1696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1215293402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAYCOX AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053420",
            "telephone_number": "757-277-6347",
            "fax_number": "757-277-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAYCOX AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053420",
            "telephone_number": "757-277-6347",
            "fax_number": "757-277-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "757-386-8578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.