Active NPI
Monica Denise Grambusch, MA, LCMHCS, LCAS
- Counselor
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A11238
- Practice address
- 804 Stamper Rd
Suite 101
Fayetteville, NC 28303-4379 - Phone
- (910) 323-2875
- Fax
- (910) 323-1355
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A11238 | NC | Primary |
Addresses
Primary practice location
804 Stamper Rd
Suite 101
Fayetteville, NC 28303-4379
Mailing address
231 Meed CT Ste 201
Fayetteville, NC 28303-2076
Phone (919) 636-5240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11238 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| On the Road Again, Inc. | Past | Accepting new patients | |
| Raintree Clinic | Past | Accepting new patients |
Locations
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
2 Walden Ridge Dr
Ste 80
Asheville, NC 28803
Phone (828) 708-5274
7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208
231 Meed Ct
Ste 201
Fayetteville, NC 28303
Phone (828) 232-8934
Organizations & group practices 5
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.
-
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
-
- Counseling Psychologist
- Charlotte, NC
- NPI 1427823749
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
-
- Adult Mental Health Clinic/Center
- Fayetteville, NC
- NPI 1013625458
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1124172499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1922497379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 MEED CT STE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283032076",
"telephone_number": "919-636-5240",
"fax_number": "910-323-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 STAMPER RD",
"address_2": "SUITE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034379",
"telephone_number": "910-323-2875",
"fax_number": "910-323-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMBUSCH",
"first_name": "MONICA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MA, LCMHCS, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A11238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.