Joan Mason Graham, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRO11593-1 Issued in NY

Practice address

34 Marys LN
Centerport, NY 11721-1118

Phone

(631) 757-4670

NPI assigned

Sep 29, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215029665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MARYS LN",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211118",
            "telephone_number": "631-757-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARYS LN",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211118",
            "telephone_number": "631-757-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JOAN",
        "middle_name": "MASON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PRO11593-1",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "PRJO11593-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ferrier, D.D.S.
• Christi Fiore
• Cynthia Forstbauer
• Alyse Freda-Colon, LCSW
• Lisa M Gaudioso, MPS, MS ED
• David Green, DDS
• Christin Noel Griskie, P.T.
• Christopher Joseph Grodski, L.AC., DIPL. OM
• Victoria Gulino, LMHC
• Soosan Happel, LMHC

• Mental Health Counselor in Centerport, NY
• Providers in Centerport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.