Active NPI
Kelly Graham
- Mental Health Counselor
- Pittsburgh, PA
National Provider Identifier
1174915862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BH000871
- Practice address
- 5648 Friendship Ave
Pittsburgh, PA 15206-3610 - Phone
- (412) 661-1827
- Fax
- (412) 661-1867
- NPI assigned
- Mar 4, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BH000871 | PA | Primary |
Addresses
Primary practice location
5648 Friendship Ave
Pittsburgh, PA 15206-3610
Mailing address
1145 Fox Hill Dr
Apt 123
Monroeville, PA 15146-1655
Phone (724) 417-0346
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 |
|---|---|---|---|
| BH000871 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1174915862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 FOX HILL DR",
"address_2": "APT 123",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151461655",
"telephone_number": "724-417-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063610",
"telephone_number": "412-661-1827",
"fax_number": "412-661-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "BH000871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.