Scarlet Graham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5077 Issued in OR

Practice address

220 Coachwhip CT
Jasper, GA 30143-5655

Phone

(503) 946-9871

Fax

(888) 710-4511

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Scarlet Graham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cynthia Gulick, PC

  dba Southwest Family Physicians

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1467675009
  NPD (past)
• My Other Me

  • Gynecology Physician
  • Portland, OR
  • NPI 1801462080
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1093179244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COACHWHIP CT # 20454",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301435655",
            "telephone_number": "503-309-1191",
            "fax_number": "888-710-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COACHWHIP CT",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301435655",
            "telephone_number": "503-946-9871",
            "fax_number": "888-710-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11900 SW Greenburg Rd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972236453",
            "country_code": "US",
            "telephone_number": "503-620-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34575 SE Doyle Rd",
            "address_purpose": "LOCATION",
            "city": "Estacada",
            "state": "OR",
            "postal_code": "970239572",
            "country_code": "US",
            "telephone_number": "503-946-9871",
            "fax_number": "888-710-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SCARLET",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5077",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCARLET",
            "last_name": "GRAHAM",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Amanda J Griggs, LMT

• Professional Counselor in Jasper, GA
• Providers in Jasper, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.