Arvella Jinnette Graham, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

241549 Issued in KY

Practice address

725 New Glendale Rd
Elizabethtown, KY 42701-8373

Phone

(270) 900-0327

Fax

(270) 900-0426

NPI assigned

Jun 7, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1205329927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W EAGLE PASS RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018520",
            "telephone_number": "314-603-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018373",
            "telephone_number": "270-900-0327",
            "fax_number": "270-900-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ARVELLA",
        "middle_name": "JINNETTE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "241549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Gossett
• Gould's Discount Medical LLC (Gould's Discount Medical)
• Brian Grace, MD
• Karlee Grace, DO
• Amanda Jean Graham, MSBS, LCADC
• Bethany Graham, LCSW
• Crystal S Graham
• Kimberli Graham, LPCC
• Rachel W Graham
• Denise Michele Grant

• Professional Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.