Active NPI
Meagan Elise Graham, LPC
- Counselor
- Portsmouth, VA
National Provider Identifier
1043728611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701007473
- Practice address
- 301 Fort LN
Portsmouth, VA 23704-2221 - Phone
- (757) 391-5909
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701007473 | VA | Primary |
Addresses
Primary practice location
301 Fort LN
Portsmouth, VA 23704-2221
Mailing address
513 Baylor CT
Chesapeake, VA 23320-3824
Other practice location 1
513 Baylor Ct
Chesapeake, VA 23320-3824
Phone (757) 436-5601
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007473 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1043728611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 BAYLOR CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FORT LN",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042221",
"telephone_number": "757-391-5909"
}
],
"practiceLocations": [
{
"address_1": "513 Baylor Ct",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233203824",
"country_code": "US",
"telephone_number": "757-436-5601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "MEAGAN",
"middle_name": "ELISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701007473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.