Individual provider Active NPI

Graciela Aires Rust, LCMHC, CRC, IWLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1710317201
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10364 Issued in NC
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

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10364NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Growth Integrative Counseling Mental Health CurrentSince Aug 30, 2020 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.

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

Verify at the official NPI Registry.