Active NPI
Grace Muretta Perkins, MA, LPC, LCAS-A
- Professional Counselor
- Gastonia, NC
National Provider Identifier
1740694785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11148
- Practice address
- 436 E Long Ave Ste 1
Gastonia, NC 28054-2543 - Phone
- (980) 888-7258
- Fax
- (704) 396-6356
- NPI assigned
- Jun 18, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-20091 | NC | |
| Mental Health Counselor | 101YM0800X | 11148 | NC | |
| Professional Counselor | 101YP2500X | 11148 | NC | Primary |
Addresses
Primary practice location
436 E Long Ave Ste 1
Gastonia, NC 28054-2543
Mailing address
123 Mullinax Dr
Grover, NC 28073-9584
Phone (704) 421-5464
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-20091 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11148 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Developmental Achievements | Professional | Current | Accepting new patients |
| Grace Therapeutic Counseling PLLC | Current | Accepting new patients |
Locations
2020 Remount Rd
Ste 105E
Gastonia, NC 28054
1556 Union Rd
Ste E
Gastonia, NC 28054
436 E Long Ave
Ste 1
Gastonia, NC 28054
Phone (704) 850-9099
Organizations & group practices 2
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
- Gastonia, NC
- NPI 1821568759
-
- Professional Counselor
- Gastonia, NC
- NPI 1700356623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1740694785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MULLINAX DR",
"city": "GROVER",
"state": "NC",
"postal_code": "280739584",
"telephone_number": "704-421-5464",
"fax_number": "704-396-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 E LONG AVE STE 1",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542543",
"telephone_number": "980-888-7258",
"fax_number": "704-396-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "GRACE",
"middle_name": "MURETTA",
"credential": "MA, LPC, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-20091",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11148",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.