MR. CARTER LANE GRISSOM
NPI 1689090920
Counselor - Addiction (Substance Use Disorder) in Ukiah, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since March 11, 2014

201 BRUSH ST, UKIAH, CA 95482(707) 462-6290(707) 468-6427 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mr. Carter Lane Grissom NPPES

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

MR. CARTER LANE GRISSOM (NPI 1689090920) is an individual addiction (substance use disorder) provider in Ukiah, California and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1689090920

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. CARTER LANE GRISSOM

Location Address201 BRUSH STUkiah, CA 95482-3424

Mailing Address201 Brush StUkiah, CA 95482-3424 · (707) 462-6290 · Fax (707) 468-6427

Phone(707) 462-6290

Fax(707) 468-6427

Sole ProprietorNo

Enumeration DateMarch 11, 2014

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1689090920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

201 BRUSH ST, Ukiah, CA 95482

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY SILVA RAS