Individual provider Active NPI

Pamela Page Graham, LCSW, LCAS, CSW

  • Mental Health Counselor
  • Franklin, NC
National Provider Identifier
1033481890
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSWC008820 Issued in NC
Practice address
338 Fox Ridge Circle
Franklin, NC 28734
Phone
(910) 818-1235
Fax
(828) 631-9280
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008820 NC
Mental Health Counselor 101YM0800X LCSWC008820 NC Primary
Mental Health Counselor 101YM0800X LCAS-23066 NC
Mental Health Counselor 101YM0800X LCSW13302316-350 UT
Mental Health Counselor 101YM0800X CSW008515 GA

Addresses

Primary practice location

338 Fox Ridge Circle
Franklin, NC 28734

Mailing address

338 Fox Ridge Circle
Franklin, NC 28734
Phone (910) 818-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008515GAMDMental Health Counselor
LCAS-23066NCMDMental Health Counselor
LCSWC008820NCMDMental Health Counselor
LCSW13302316-350UTMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1033481890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 FOX RIDGE CIRCLE",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "910-818-1235",
            "fax_number": "828-631-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 FOX RIDGE CIRCLE",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "910-818-1235",
            "fax_number": "828-631-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PAMELA",
        "middle_name": "PAGE",
        "credential": "LCSW, LCAS, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008820",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCSWC008820",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCAS-23066",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "LCSW13302316-350",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW008515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.