Essential Grace Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ESSENTIAL GRACE COUNSELING, PLLC

Practice address

1330 SE Maynard Rd Ste 104
Cary, NC 27511-3628

Phone

(910) 556-9075

Fax

(919) 367-1921

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Breana Williams, LCMHC, NCC

Title

Owner

Phone

(910) 556-9075

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breana Ridges, LCMHC, NCC, CFMHE

  • Mental Health Counselor
  • Cary, NC
  • NPI 1962095539
  NPD
• Tiara Shannelle Sullivan, LCAS-A, LCMHCA

  • Mental Health Counselor
  • Greenville, NC
  • NPI 1700656634
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1346947082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273312382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE MAYNARD RD STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113628",
            "telephone_number": "910-556-9075",
            "fax_number": "919-367-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL GRACE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BREANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-556-9075",
        "authorized_official_credential": "LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Erskine-Bauer, CRNA
• Mohammad Ali Esmadi, MD
• Genevie Krysta CHI Espino
• Kathryn Esposito, MT-BC
• Essential Care & Support Services, LLC
• Essential Health & Wellness
• Establisher Counseling and Life Solutions
• Franklin Besong Etarock
• Etheridge Psychology, P.a.
• Kaylen Marissa Etheridge

• Mental Health Counselor in Cary, NC
• Providers in Cary, 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 Feb 13, 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.