Individual provider Active NPI

Lori F. Graham, LCSW

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1205850104
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1249C Issued in AR
Practice address
1920 Main St
Suite 225
North Little Rock, AR 72114-2872
Phone
(501) 952-9977
Fax
(501) 771-2420
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1249C AR Primary

Addresses

Primary practice location

1920 Main St
Suite 225
North Little Rock, AR 72114-2872

Mailing address

1920 Main St
Suite 225
North Little Rock, AR 72114-2872
Phone (501) 952-9977

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1249CARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Institute PastSince Apr 1, 2003 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Professional Counseling Associates Inc. PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1205850104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST",
            "address_2": "SUITE 225",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142872",
            "telephone_number": "501-952-9977",
            "fax_number": "501-771-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST",
            "address_2": "SUITE 225",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142872",
            "telephone_number": "501-952-9977",
            "fax_number": "501-771-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LORI",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "1249C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.