Individual provider Active NPI

Grayson Carolann Craig, LAC

  • Mental Health Counselor
  • Greenbrier, AR
National Provider Identifier
1891579470
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2308003 Issued in AR
Practice address
8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200
Phone
(501) 557-6785
NPI assigned
Aug 23, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 A2308003 AR Primary

Addresses

Primary practice location

8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200

Mailing address

1319 Bellemeade Dr
Conway, AR 72034-3702
Phone (318) 794-4549

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
A2308003ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Counseling and Consultation, Inc. Mental Health CurrentSince Sep 5, 2023 Accepting new patients

Locations

8 Wilson Farm Rd
Ste D
Greenbrier, AR 72058
Phone (501) 557-6785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1891579470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 BELLEMEADE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343702",
            "telephone_number": "318-794-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "GRAYSON",
        "middle_name": "CAROLANN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2308003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.