Individual provider Active NPI

Brianna Lynn Grayson, MS, LPC, ADC, QSAP I

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1225603798
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4438 Issued in AL
Practice address
1672 Columbia Hwy
Dothan, AL 36303-5434
Phone
(334) 712-6400
Fax
(334) 712-2673
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4438 AL Primary

Addresses

Primary practice location

1672 Columbia Hwy
Dothan, AL 36303-5434

Mailing address

1672 Columbia Hwy
Dothan, AL 36303-5434
Phone (334) 712-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000670 AL Practitioner - Mental Health Counselor 7012366461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4438ALMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Integrated Services LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

219 Dothan Rd
Abbeville, AL 36310
Phone (334) 585-5331

1672 Columbia Hwy
Dothan, AL 36303
Phone (334) 712-2671

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

440 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 673-2143

133 N Orange Ave
Eufaula, AL 36027

1203 W Maple Ave
Geneva, AL 36340
Phone (334) 805-1395

134 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1225603798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 COLUMBIA HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035434",
            "telephone_number": "334-712-6400",
            "fax_number": "334-712-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 COLUMBIA HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035434",
            "telephone_number": "334-712-6400",
            "fax_number": "334-712-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "credential": "MS, LPC, ADC, QSAP I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.