Tina Marie Graves, MSW,LCSW,LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5073 Issued in MS

Practice address

100 Terri Rd
Gulfport, MS 39503-3336

Phone

(228) 832-3362

Fax

(888) 241-6012

NPI assigned

Jul 13, 2006

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

Other identifiers 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1225053705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2276",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395052276",
            "telephone_number": "228-832-3362",
            "fax_number": "888-241-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERRI RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033336",
            "telephone_number": "228-832-3362",
            "fax_number": "888-241-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "MSW,LCSW,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118808",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Gramm
• Kayce Michele Granger
• Cherry Elizabeth Graves, FNP-C, WHNP-BC
• Fraxine Graves, IDD WAIVER SERVICES
• Thomas L Graves, M.D.
• Shanita Grayer
• Graystone Group LLC
• Graystone Group LLC
• Constance Ann Graziano, BS
• Greater Love Home Care

• Mental Health Counselor in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.