Active NPI
Deborah Stanton Gracia, L.C.S.W., L.D.C.
- Addiction (Substance Use Disorder) Counselor
- Chattanooga, TN
National Provider Identifier
1689707390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LDC200
- Practice address
- 101 Jordan Dr
Jordan Professional Building
Chattanooga, TN 37421-6732 - Phone
- (423) 499-8894
- Fax
- (423) 886-7017
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LDC200 | TN | Primary |
| Clinical Social Worker | 1041C0700X | TN984 | TN |
Addresses
Primary practice location
101 Jordan Dr
Jordan Professional Building
Chattanooga, TN 37421-6732
Mailing address
101 Jordan Dr
Jordan Professional Building
Chattanooga, TN 37421-6732
Phone (423) 499-8894
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4295328 | Other | KY | PIN NUMBER |
| 145218 | Medicaid | FL | |
| 0145218 | Other | TN | PIN NUMBER |
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 |
|---|---|---|---|
| LDC200 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| TN984 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689707390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 JORDAN DR",
"address_2": "JORDAN PROFESSIONAL BUILDING",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216732",
"telephone_number": "423-499-8894",
"fax_number": "423-886-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JORDAN DR",
"address_2": "JORDAN PROFESSIONAL BUILDING",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216732",
"telephone_number": "423-499-8894",
"fax_number": "423-886-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIA",
"first_name": "DEBORAH",
"middle_name": "STANTON",
"name_prefix": "Mrs.",
"credential": "L.C.S.W., L.D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LDC200",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "TN984",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN NUMBER",
"identifier": "4295328",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145218",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN NUMBER",
"identifier": "0145218",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.