Mary Catherine Grant, NCC/CCMHC/LCMHC/LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11728 Issued in NC

Practice address

100 S Marshall St Ste 1
Winston Salem, NC 27101-2843

Phone

(362) 761-2783

Fax

(336) 276-1516

NPI assigned

Aug 30, 2016

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1265988141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARSHALL ST STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012843",
            "telephone_number": "336-276-1278",
            "fax_number": "336-276-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARSHALL ST STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012843",
            "telephone_number": "362-761-2783",
            "fax_number": "336-276-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "NCC/CCMHC/LCMHC/LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21990",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Granger, M.D.
• Debra White Grant
• Erich J Grant, PA
• Jelani Kayode Grant, MD
• Jill Payne Grant, PA
• Symphonie Charles Grant, PHARM.D.
• Kristin Elizabeth Grapes, PH.D.
• Roger Edmund Gravel, D.D.S.
• Gevonna Ardell Graves-Worney, LCASA
• Benjamin Graves, M.D.

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.