Active NPI
Susan Davis Gregory, LCAS A
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1679091268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22950
- Practice address
- 309 W Millbrook Rd Ste 161
Raleigh, NC 27609-4261 - Phone
- (919) 559-8690
- Fax
- (919) 882-1277
- NPI assigned
- Sep 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21441 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22950 | NC | Primary |
Addresses
Primary practice location
309 W Millbrook Rd Ste 161
Raleigh, NC 27609-4261
Mailing address
5405 Quail Creek CT Apt 104
Raleigh, NC 27609-5084
Phone (919) 210-7728
Other practice location 1
3826 Bland Rd
Raleigh, NC 27609-6239
Phone (919) 872-1441
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22950 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC Recovery Support Services | Past | Accepting new patients | |
| Cottage Health Care Services, Inc | Past | Accepting new patients | |
| Cottage Health Care Services, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1386771657
-
- Adolescent and Children Mental Health Clinic/Center
- Raleigh, NC
- NPI 1487975074
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Raleigh, NC
- NPI 1437592771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1679091268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 QUAIL CREEK CT APT 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095084",
"telephone_number": "919-210-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W MILLBROOK RD STE 161",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094261",
"telephone_number": "919-559-8690",
"fax_number": "919-882-1277"
}
],
"practiceLocations": [
{
"address_1": "3826 Bland Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096239",
"country_code": "US",
"telephone_number": "919-872-1441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "SUSAN",
"middle_name": "DAVIS",
"credential": "LCAS A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-02",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "21441",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.