Mr. Carter Lane Grissom
Mr. Carter Lane Grissom is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Ukiah, CA, registered in the NPPES registry with NPI 1689090920 since 2014. Practices at Ford Street Project (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689090920 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Carter Lane Grissom |
| Sex | Male |
| Practice address | 201 BRUSH ST, Ukiah, CA, 95482 |
| Phone | 7074626290 |
| Fax | 7074686427 |
| Enumeration date | 2014-03-11 |
| Last updated in NPPES | 2025-09-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | CA |
Copy-ready billing details
Provider: Carter Grissom NPI: 1689090920 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 201 BRUSH ST, Ukiah, CA, 95482
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669514253 | Jill Mattern | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1265611156 | Clover Martin | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1700018066 | Catherine Anglen | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1073946547 | Ford Street Project | Organization | Substance Abuse Rehabilitation Facility | Ukiah, CA |
| 1710311956 | Sherry Silva | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1912352063 | Ryan Bowles | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1770038085 | Ronda Mackey | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
| 1245781814 | Melissa Millard | Individual | Addiction (Substance Use Disorder) Counselor | Ukiah, CA |
Verify this record
Cross-check NPI 1689090920 against the authoritative CMS record: view Mr. Carter Lane Grissom on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-22.