Whitley Grant

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11565 Issued in NC

Practice address

2101 Folsom LN
Morrisville, NC 27560-6312

Phone

(919) 780-4197

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Melanated Space

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1174497135
  NPD Authorized official
• Melanated Space

  • Counselor
  • Durham, NC
  • NPI 1659119634
  NPD

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1245623370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110122",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095122",
            "telephone_number": "919-780-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOLSOM LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606312",
            "telephone_number": "919-780-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12316 Hampton Way Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275876538",
            "country_code": "US",
            "telephone_number": "919-556-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "WHITLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 21272",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Gould, LCMHC, LMHC
• Aruna Gouru, M.D.
• GR&M Nonprofit Foundation
• Martha Smith Grady, RN
• Courtney Grant, LCMHCA
• Alicia Lynn Gray, FNP-C
• Jessica Gray, PT, DPT
• Yvette Gray, LMBT
• Mallory Green, RD
• William Bernard Gross, DDS

• Mental Health Counselor in Morrisville, NC
• Providers in Morrisville, 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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.