Grace & Peace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACE & PEACE

Practice address

421 W 26TH St
Winston Salem, NC 27105-5016

Phone

(336) 437-4117

Fax

(336) 217-8517

NPI assigned

Feb 13, 2015

Organization subpart

Yes

Parent organization

CONSTANT ELEVATION, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Demarco Feliciano Odom

Title

Ceo

Phone

(336) 437-4117

Specialties & licenses 1

Addresses

Part of

Constant Elevation LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Constant Elevation, LLC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376932517
  NPPES parent name

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1902297849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 26TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055016",
            "telephone_number": "336-437-4117",
            "fax_number": "336-217-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 26TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055016",
            "telephone_number": "336-437-4117",
            "fax_number": "336-217-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & PEACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSTANT ELEVATION, LLC",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "DEMARCO",
        "authorized_official_middle_name": "FELICIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-437-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.