Individual provider Active NPI

Candace Graham, LPC

  • Mental Health Counselor
  • Grapevine, TX
National Provider Identifier
1053289678
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87713 Issued in TX
Practice address
4841 Merlot Ave Unit 420
Grapevine, TX 76051-7382
Phone
(817) 392-9122
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 87713 TX Primary

Addresses

Primary practice location

4841 Merlot Ave Unit 420
Grapevine, TX 76051-7382

Mailing address

939 Scenic Hill Dr Apt 638
Fort Worth, TX 76111-1292
Phone (205) 413-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105001206 TX Practitioner - Mental Health Counselor 6800382342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh Mid-Cities PLLCGroup PAC ID 3072058387, 9 clinicians

Practice addresses (Care Compare)

8408 Davis Blvd
Suite 240
North Richland Hills, TX 76182-8610
Phone (817) 765-5664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87713TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Mid-Cities PLLC Mental Health CurrentSince Dec 1, 2025 Accepting new patients

Locations

4841 Merlot Ave
Unit 420
Grapevine, TX 76051
Phone (817) 392-9122

8408 Davis Blvd
Ste 240
North Richland Hills, TX 76182
Phone (817) 765-5664

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1053289678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SCENIC HILL DR APT 638",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761111292",
            "telephone_number": "205-413-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MERLOT AVE UNIT 420",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517382",
            "telephone_number": "817-392-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.