Kelsey Michelle Graham, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61084650 Issued in WA

Practice address

8512 E Knox Ave
Spokane Valley, WA 99212-2312

Phone

(509) 951-4330

Fax

(509) 808-2164

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelsey Michelle Koch Former name

Electronic endpoints 1

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 and National Provider Directory roles.

• Stillwater Marriage and Family Therapy, PLLC

  • Marriage & Family Therapist
  • Spokane Valley, WA
  • NPI 1295457422
  NPD Authorized official
• Parents and Children, PLLC

  • Mental Health Counselor
  • Spokane Valley, WA
  • NPI 1376848010
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1114410818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 E KNOX AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122312",
            "telephone_number": "509-951-4330",
            "fax_number": "509-808-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 E KNOX AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122312",
            "telephone_number": "509-951-4330",
            "fax_number": "509-808-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022045",
            "country_code": "US",
            "telephone_number": "509-458-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KELSEY",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61084650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163486",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelseyg@stillwatermft.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Stillwater Marriage and Family Therapy, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8512 E Knox Ave",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992122312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KOCH",
            "middle_name": "MICHELLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Marie Graczyk, MA,CCC-SLP
• Chamellia Graham
• Diane Michelle Graham
• Ebony Montezz Graham
• James Scott Graham, M.S.
• Grande Creek Afh LLC
• Veronica Granger, RN
• Keric Lester Gray, LMP
• Melissa Gray, M.A.
• Stacy Gray, ARNP

• Marriage & Family Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.