MR. CHARLES CORTLEY GRAVENGOOD JR.
NPI 1336084250
Counselor - Mental Health in Naples, FL

Q: What is Charles Gravengood's NPI number?

The NPI number for Charles Gravengood is 1336084250. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Charles Gravengood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 20, 2026

4998 ANDROS DR, NAPLES, FL 34113(702) 469-2166 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Charles Cortley Gravengood Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES CORTLEY GRAVENGOOD JR. (NPI 1336084250) is an individual mental health provider in Naples, Florida, licensed in Florida (MH22145) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1336084250

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. CHARLES CORTLEY GRAVENGOOD JR.

Location Address4998 ANDROS DRNaples, FL 34113-7420

Mailing Address4998 Andros DrNaples, FL 34113-7420 · (702) 469-2166

Phone(702) 469-2166

Sole ProprietorYes

Enumeration DateApril 20, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1336084250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH22145

4998 ANDROS DR, Naples, FL 34113

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Gravengood's NPI number?

The NPI number for Charles Gravengood is 1336084250. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Charles Gravengood located?

Charles Gravengood practices at 4998 Andros Dr, Naples, FL 34113. The listed phone number is (702) 469-2166.

What is Charles Gravengood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Charles Gravengood was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.