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

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: August 30, 2026.

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
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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.

SEANA MARIE BELL
Community Health Worker
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
TRAVIS WELTON WASHINGTON JR.
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
FORD STREET PROJECT
Substance Abuse Rehabilitation Facility
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-1934
JOSH MARTINEZ
Community Health Worker
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
JOHN C QUINONES JR.
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-1934
DERICK ALMENA
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
MELISSA MILLARD
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
RHEANNAH ANDREA MOLINA
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290

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 Carter Grissom's NPI number?

The NPI number for Carter Grissom is 1689090920. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Carter Grissom located?

Carter Grissom practices at 201 Brush St, Ukiah, CA 95482. The listed phone number is (707) 462-6290.

What is Carter Grissom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carter Grissom was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.