Ryan Michael Graumann, LCMHCS

Key facts

NPI

1013464007

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

S11818 (NC)

Practice address

6616 Six Forks Rd Ste 204
Raleigh, NC 27615-6524

Phone

(919) 576-0263

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2025.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013464007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156524",
            "telephone_number": "919-576-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156524",
            "telephone_number": "919-576-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUMANN",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S11818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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