Individual provider Active NPI

Susan Davis Gregory, LCAS A

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1679091268
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22950 Issued in NC
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

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22950NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NC Recovery Support Services Past Accepting new patients
Cottage Health Care Services, Inc PastSince Jan 27, 2016 Accepting new patients
Cottage Health Care Services, Inc Addiction (Substance Use Disorder) PastSince Nov 21, 2021 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.

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.

Verify at the official NPI Registry.