Active NPI
Mary K Grigsby, MED LCMHC
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1295777936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2263
- Practice address
- 6208 Fayetteville Rd Ste 106
Durham, NC 27713-6286 - Phone
- (919) 286-9659
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2263 | NC | Primary |
Addresses
Primary practice location
6208 Fayetteville Rd Ste 106
Durham, NC 27713-6286
Mailing address
6208 Fayetteville Rd Ste 106
Durham, NC 27713-6286
Phone (919) 286-9659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 15, 2023 through Dec 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1295777936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6208 FAYETTEVILLE RD STE 106",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136286",
"telephone_number": "919-286-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6208 FAYETTEVILLE RD STE 106",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136286",
"telephone_number": "919-286-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGSBY",
"first_name": "MARY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "MED LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.