Active NPI
Graciela Aires Rust, LCMHC, CRC, IWLC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1710317201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10364
- Practice address
- 5306 Six Forks Rd Ste 213
Raleigh, NC 27609-4468 - Phone
- (808) 824-0721
- Fax
- (828) 933-1134
- NPI assigned
- Nov 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10364 | NC | Primary |
Addresses
Primary practice location
5306 Six Forks Rd Ste 213
Raleigh, NC 27609-4468
Mailing address
5306 Six Forks Rd Ste 213
Raleigh, NC 27609-4468
Phone (808) 824-0721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10364 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Growth Integrative Counseling | Mental Health | Current | Accepting new patients |
Locations
5306 Six Forks Rd
Ste 213
Raleigh, NC 27609
Phone (808) 824-0721
Organizations & group practices 1
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.
-
- Professional Counselor
- Raleigh, NC
- NPI 1336751163
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772928000000",
"number": "1710317201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5306 SIX FORKS RD STE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094468",
"telephone_number": "808-824-0721",
"fax_number": "828-933-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 SIX FORKS RD STE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094468",
"telephone_number": "808-824-0721",
"fax_number": "828-933-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "GRACIELA",
"middle_name": "AIRES",
"credential": "LCMHC, CRC, IWLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2026-03-08",
"certification_date": "2026-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10364",
"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 Mar 8, 2026; 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.