Kelly Ann I. Graham, M.A., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5124 Issued in MA

Practice address

545 Westminster St
Fitchburg, MA 01420-4727

Phone

(978) 345-0685

Fax

(978) 342-8495

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

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.

• Luk Crisis Center Inc.

  • Community/Behavioral Health Agency
  • Fitchburg, MA
  • NPI 1306962741
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164541561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-342-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204727",
            "telephone_number": "978-345-0685",
            "fax_number": "978-342-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KELLY ANN",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED MENTAL HEALTH",
            "identifier": "5124",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Michelle Gordon-Hughes
• Juan Carlos Goris, LICSW
• David C. Gorman
• Odette Viviana Gotay
• Ruth Gougian
• Nevaeh Graham
• Granite Hill Care Center LLC
• Elizabeth Osborn Grant, L.AC.
• Arianna Gray
• Kent S. Greenwood, M.D.

• Mental Health Counselor in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.