Individual provider Active NPI

Grace Carrie Lucas, LCMHC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1770144487
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14434 Issued in NC
Practice address
113 Edinburgh South Dr Ste 130
Cary, NC 27511-6456
Phone
(919) 230-1446
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 14434 NC Primary

Addresses

Primary practice location

113 Edinburgh South Dr Ste 130
Cary, NC 27511-6456

Mailing address

2325 Lawrence Dr
Raleigh, NC 27603-2626
Phone (919) 740-3099

Other names 1

  • Grace Carrie Tomalavage Former name

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

LicenseStateTypeSpecialty
14434NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman Family Services Inc Mental Health Past Accepting new patients
Mindly Group, PLLC Mental Health PastSince Jul 1, 2022 Accepting new patients

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1770144487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 LAWRENCE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032626",
            "telephone_number": "919-740-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EDINBURGH SOUTH DR STE 130",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116456",
            "telephone_number": "919-230-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "GRACE",
        "middle_name": "CARRIE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TOMALAVAGE",
            "middle_name": "CARRIE",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.