Grace Counseling and Consulting

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

GRACE COUNSELING AND CONSULTING

Practice address

104 Lock and Dam Rd
Russellville, AR 72802-9725

Phone

(479) 222-1965

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Raven Cruz Humberto, LPC

Title

LPC

Phone

(479) 222-1965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1427894526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-222-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ HUMBERTO",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "479-222-1965",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Tyler Goodpasture, PT, DPT
• Megan N Goodwin, PT
• Chloe Gordon, RECOVERY ASSISTANT
• Savannah Lorraine Gordon
• Tanner S Goulet, PTA
• Grace Counseling, Inc.
• Maureen Grace
• Darrell S Gray Jr., DPT
• Robert Van Graybill, DDS
• Shawna Dee Grayham, STATE LICENSE

• Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.