Organization Active NPI

Mountains to Lake Counseling, PLLC

  • Professional Counselor
  • Mooresville, NC
National Provider Identifier
1487542585
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mark Grega, MA, LCMHCNPI 1003709882
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.