Revizion Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REVIZION COUNSELING SERVICES, PLLC

Practice address

364 Somerset Dr
Raeford, NC 28376-5437

Phone

(919) 679-2246

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Charlescie Lee Graham, LCSW, LCASNPI 1952786949

Title

Clinician/Owner

Phone

(919) 679-2246

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CHARLESCIE L GRAHAM Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlescie Graham, LCSW, LCAS

  • Clinical Social Worker
  • Raeford, NC
  • NPI 1952786949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1194487868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SOMERSET DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765437",
            "telephone_number": "919-679-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SOMERSET DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765437",
            "telephone_number": "919-679-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIZION COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHARLESCIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "919-679-2246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE ID #",
            "identifier": "2268448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLESCIE L GRAHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina'S Touch
• Renewing Hope Adult Services LLC.
• Restoration of Focus: Holistic & Naturopathic Body Sculpting-Fat Loss
• Restoration of Focus: Mental Health Counseling and Naturopathic Care
• Amy Jo Revels
• Rha Health Services NC, LLC
• Mary Rhodes
• Richale R Reed PLLC
• Kathleen Marie Richard, M.S. LPC
• Marceller Raina Riddick

• Community/Behavioral Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.