Javiette Grant, MS, LCMHCA, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A13498 Issued in NC

Practice address

5108 Reagan Dr
Charlotte, NC 28206-3103

Phone

(704) 567-0790

NPI assigned

Jun 7, 2018

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1407349293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063103",
            "telephone_number": "704-567-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063103",
            "telephone_number": "704-567-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JAVIETTE",
        "credential": "MS, LCMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Grant
• Brittany Allisha Ann Grant, LRT
• Ericka Ellen Grant, PT
• Heather Avery Grant, LCSWA
• Jamese Nicole Grant, MSW, LCSW-A
• Kelsey Lynn Grant, MA, LCMHCA, NCC
• Kimberly Elizabeth Grant, PTA
• Krystal Grant
• Lisa Ann Grant, PT, SCS, LAT, ATC
• Makayla Grant

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.