Shannon Graham, QMHS, CMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

QMHS Issued in NU

Practice address

12896 Grey St
Logan, OH 43138-9638

Phone

(740) 592-6724

NPI assigned

Jan 23, 2024

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Recovery Services, Inc

  • Mental Health Counselor
  • Athens, OH
  • NPI 1427024124

  Addiction (Substance Use Disorder)

  NPD (past)
• Health Recovery Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Athens, OH
  • NPI 1881957587
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1215799564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12896 GREY ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389638",
            "telephone_number": "740-592-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011334",
            "country_code": "US",
            "telephone_number": "740-592-6724 x1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SHANNON",
        "credential": "QMHS, CMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": "QMHS",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": "CMS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lee Gates
• Christian Ernest Gedeon, DC
• Angela Dianne Geil, RN
• Amber D Gillette, QMHS
• Kailynn Goodyear
• Sandra Sue Graves
• Nancy L Gregory, CDCA, QMHS
• Marissa Griesmar, LSW
• Michelle Grush
• Mistafa A. Hafid, DO

• Case Manager/Care Coordinator in Logan, OH
• Providers in Logan, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.