ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
NPI 1053275206
Peer Specialist in Charlotte, NC
NPI Status: Active since December 11, 2025
Contact Information
5736 N TRYON ST STE 125A
CHARLOTTE, NC
ZIP 28213
Phone: (704) 713-5652
- Organization
- Peer Specialist
About ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
This page provides the complete NPI Profile along with additional information for Abundantly Graced Community Supportive Services Inc, a provider established in Charlotte, North Carolina operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1053275206 assigned on December 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Lastarra Shawnta Mcdonald (Ceo)
- NPI
- 1053275206
- Provider Name
- ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
- Entity Type
- Organization
- Location Address
- 5736 N TRYON ST STE 125A CHARLOTTE, NC 28213
- Location Phone
- (704) 713-5652
- Mailing Address
- 5736 N TRYON ST STE 125A CHARLOTTE, NC 28213
- Mailing Phone
- (704) 713-5652
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2025
- Last Update Date
- 03-11-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 174200000X | Other Service Providers | Meals | |
| 4 | 251B00000X | Agencies | Case Management | |
| 5 | 251E00000X | Agencies | Home Health | |
| 6 | 251S00000X | Agencies | Community/Behavioral Health | |
| 7 | 253Z00000X | Agencies | In Home Supportive Care | |
| 8 | 372600000X | Nursing Service Related Providers | Adult Companion | |
| 9 | 385HR2060X | Respite Care Facility | Respite Care |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053275206, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 44 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053275206, enumerated as an "organization" on December 11, 2025.
The provider is located at 5736 N TRYON ST STE 125A CHARLOTTE, NC 28213 and the phone number is (704) 713-5652.
Peer Specialist with taxonomy code 175T00000X.
