Shante Denise Gregory, LCMCHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14915 Issued in NC

Practice address

120 Unionville Indian Trail Rd W
Indian Trail, NC 28079-5665

Phone

(704) 438-9901

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Locations

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

• Grace to Win Counseling Services, PLLC

  • Mental Health Counselor
  • Matthews, NC
  • NPI 1730029125
  NPD Authorized official
• Thrive Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1477961506
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1477298362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 PROVIDENCE RD # 355",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795665",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "SHANTE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCMCHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Charles Gotro Jr., D.C.
• Rochelle Marie Gould-McIver, MSW, LCSWA, CDP
• Tarsha-Ann Monique Graham, DPT
• Heather D Grandits
• Abby Greaney, DPT
• Pebbles Griffin-Dockery
• Carrie L Griffiths, PHARM.D.
• Inna Gritsay
• Katie Guelcher
• Jennifer Lynn Gustafson, OTR/L

• Mental Health Counselor in Indian Trail, NC
• Providers in Indian Trail, 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 May 4, 2022; 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.