Active NPI
Mountains to Lake Counseling, PLLC
- Professional Counselor
- Mooresville, NC
National Provider Identifier
1487542585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MOUNTAINS TO LAKE COUNSELING, PLLC
- Practice address
- 129 Sea Trail Dr
Mooresville, NC 28117-8493 - Phone
- (704) 677-5479
- NPI assigned
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Grega, MA, LCMHC
- Title
- Counselor
- Phone
- (704) 677-5479
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
129 Sea Trail Dr
Mooresville, NC 28117-8493
Mailing address
129 Sea Trail Dr
Mooresville, NC 28117-8493
Phone (704) 677-5479
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mooresville, NC
- NPI 1003709882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1487542585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SEA TRAIL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178493",
"telephone_number": "704-677-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 SEA TRAIL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178493",
"telephone_number": "704-677-5479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINS TO LAKE COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "GREGA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "704-677-5479",
"authorized_official_credential": "MA, LCMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.