Tracy Lynn Grantham, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2835 Issued in SC

Practice address

4130 Faber Place Dr
Suite 115
N Charleston, SC 29405-8501

Phone

(843) 747-5327

Fax

(843) 747-0698

NPI assigned

May 18, 2011

Last updated

May 18, 2011By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jul 24, 2024 through Jul 24, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Save Inc

  • Counselor
  • North Charleston, SC
  • NPI 1629027149
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1538452933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 FABER PLACE DR",
            "address_2": "SUITE 115",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058501",
            "telephone_number": "843-747-5327",
            "fax_number": "843-747-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 FABER PLACE DR",
            "address_2": "SUITE 115",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058501",
            "telephone_number": "843-747-5327",
            "fax_number": "843-747-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "2835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie R Gesmond, APRN, FNP
• Cheryl Gesser
• Ashton Glasgow
• Melinda Sue Goins, RN
• Paul M Grant, MD
• Keisha Green, PHARMD
• Wakeetha Machelle Green
• Farrel Irvin Grossman, D.C.
• Karl K. Gruber, MD
• Lorraine Estelle Gunn, RPH

• Counselor in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.