Individual provider Active NPI

Grace Muretta Perkins, MA, LPC, LCAS-A

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1740694785
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11148 Issued in NC
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

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCAS-20091NCMDAddiction (Substance Use Disorder) Counselor
11148NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Developmental Achievements Professional CurrentSince Oct 10, 2021 Accepting new patients
Grace Therapeutic Counseling PLLC CurrentSince Oct 10, 2021 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.

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.

Verify at the official NPI Registry.