Stacey Watkins-Griffith, DMIN

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

81 Issued in NC

Practice address

200 E Marion St
Shelby, NC 28150-4610

Phone

(704) 810-4344

Fax

(704) 810-4345

NPI assigned

Aug 30, 2011

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanctuary Counseling Group

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1386785251
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1376824870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280430028",
            "telephone_number": "828-447-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MARION ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504610",
            "telephone_number": "704-810-4344",
            "fax_number": "704-810-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS-GRIFFITH",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "DMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Warren, MD
• Bianca S Washington, FNP-BC
• Abby Charles Waters, LCSW-A
• Myra Waters, CFO
• Rebecca C Waters, LCMHCA
• Devon E Weathers
• Robin Marie Weaver, MA, NCC, LCMHC, LPC
• Samantha Gwen Weaver, CRNA
• Webb Orthodontics
• Austin Gardner Webb, DMD

• Pastoral Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Pastoral Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.