Individual provider Active NPI

Christa Grayson, CADC-II

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, GA
National Provider Identifier
1558094490
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01639 Issued in GA
Practice address
450 Thatch Ter
Fayetteville, GA 30214-1918
Phone
(470) 908-9064
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01639 GA Primary

Addresses

Primary practice location

450 Thatch Ter
Fayetteville, GA 30214-1918

Mailing address

450 Thatch Ter
Fayetteville, GA 30214-1918
Phone (470) 908-9064

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.pearlscounseling.com
Direct Messaging Address info@pearlscounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01639GAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1558094490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 THATCH TER",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141918",
            "telephone_number": "470-908-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 THATCH TER",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141918",
            "telephone_number": "470-908-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "CHRISTA",
        "credential": "CADC-II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "01639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pearlscounseling.com",
            "affiliation": "N",
            "address_1": "450 Thatch Ter",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302141918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pearlscounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 Thatch Ter",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302141918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.