Individual provider Active NPI

Kenisha D. Graves, M.A., L.P.C.

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1235694035
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75666 Issued in TX
Practice address
5222 Cypress Creek Pkwy Ste 222E
Houston, TX 77069-4427
Phone
(832) 989-8042
Fax
(888) 717-7079
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 75666 TX Primary

Addresses

Primary practice location

5222 Cypress Creek Pkwy Ste 222E
Houston, TX 77069-4427

Mailing address

7250 W Greens Rd Apt 108
Houston, TX 77064-1123
Phone (832) 989-8042

Other names 1

  • Kenisha D. Graves-Drayton Former name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
75666TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1235694035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 W GREENS RD APT 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641123",
            "telephone_number": "832-989-8042",
            "fax_number": "888-717-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 CYPRESS CREEK PKWY STE 222E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694427",
            "telephone_number": "832-989-8042",
            "fax_number": "888-717-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KENISHA",
        "middle_name": "D.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENISHA",
            "last_name": "GRAVES-DRAYTON",
            "middle_name": "D.",
            "credential": "LPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.