Active NPI
Denesha Degraffenreid
- Addiction (Substance Use Disorder) Counselor
- Rock Hill, SC
National Provider Identifier
1881198117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 199 S Herlong Ave
Rock Hill, SC 29732-1186 - Phone
- (803) 324-1800
- NPI assigned
- Mar 21, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
199 S Herlong Ave
Rock Hill, SC 29732-1186
Mailing address
6047 Tyvola Glen Cir
Charlotte, NC 28217-6431
Phone (980) 850-9087
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connected to Recover | Current | Accepting new patients | |
| Keystone Behavioral Health | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
6047 Tyvola Glen Cir
Charlotte, NC 28217
Phone (203) 238-7754
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
- Charlotte, NC
- NPI 1689441586
-
- Community/Behavioral Health Agency
- Rock Hill, SC
- NPI 1255334009
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1881198117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6047 TYVOLA GLEN CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282176431",
"telephone_number": "980-850-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321186",
"telephone_number": "803-324-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAFFENREID",
"first_name": "DENESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.