Individual provider Active NPI

Grace Reynolds

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1316896905
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22468 Issued in NC
Practice address
401 S Graham St Apt 401
Charlotte, NC 28202-1300
Phone
(803) 553-0444
NPI assigned
Jan 26, 2026
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A22468 NC Primary

Addresses

Primary practice location

401 S Graham St Apt 401
Charlotte, NC 28202-1300

Mailing address

401 S Graham St Apt 401
Charlotte, NC 28202-1300
Phone (803) 553-0444

Other practice location 1

519 W John St
Matthews, NC 28105-5352
Phone (704) 286-6227

Other practice location 2

4520 Mint Hill Village Ln Ste 206
Mint Hill, NC 28227-7798
Phone (704) 286-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A22468NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1316896905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GRAHAM ST APT 401",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021300",
            "telephone_number": "803-553-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GRAHAM ST APT 401",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021300",
            "telephone_number": "803-553-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 W John St",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055352",
            "country_code": "US",
            "telephone_number": "704-286-6227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Mint Hill Village Ln Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277798",
            "country_code": "US",
            "telephone_number": "704-286-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.