Organization Active NPI

Grace Counseling and Wellness

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1376068528
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACE COUNSELING AND WELLNESS
Doing business as
Grace Counseling and Wellness, PLLC
Practice address
3709 W Market St
Greensboro, NC 27403-4432
Phone
(336) 494-5743
Fax
(866) 278-9217
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Sation KonchellahNPI 1144613043
Title
Counselor/Owner
Phone
(336) 494-5743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3709 W Market St
Greensboro, NC 27403-4432

Mailing address

PO Box 122
Sedalia, NC 27342-0122
Phone (336) 494-5743

Other names 1

  • Grace Counseling and Wellness, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118001046 NC Part B Supplier - Clinic/Group Practice 3476905167 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, NC

National Provider Directory

National Provider Directory

Locations

2224 Lacy St
Burlington, NC 27215
Phone (336) 494-5743

3709 W Market St
Greensboro, NC 27403
Phone (336) 494-5743

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1376068528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "SEDALIA",
            "state": "NC",
            "postal_code": "273420122",
            "telephone_number": "336-494-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034432",
            "telephone_number": "336-494-5743",
            "fax_number": "866-278-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "KONCHELLAH",
        "authorized_official_first_name": "SATION",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "336-494-5743"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Counseling and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.