Active NPI
Lenzy O'Dell Graham, M.A. LPC-A
- Mental Health Counselor
- Whiteville, NC
National Provider Identifier
1275991150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A10941
- Practice address
- 603 S Madison St
Whiteville, NC 28472-4129 - Phone
- (910) 640-3538
- NPI assigned
- Feb 5, 2016
- Last updated
- Feb 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A10941 | NC | Primary |
Addresses
Primary practice location
603 S Madison St
Whiteville, NC 28472-4129
Mailing address
603 S Madison St
Whiteville, NC 28472-4129
Phone (910) 640-3538
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
| License | State | Type | Specialty |
|---|---|---|---|
| A10941 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge of Hope Wellness LLC | Mental Health | Current | Accepting new patients |
| Carter Clinic, PA | Past | Accepting new patients | |
| Carter Clinic PA | Past | Accepting new patients | |
| Carter Clinic, P.a. | Past | Accepting new patients | |
| Carter Clinic PA | Past | Accepting new patients | |
| Carter Clinic, P.a. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Mental Health Counselor
- Fair Bluff, NC
- NPI 1154156222
-
- Psychiatry Physician
- Smithfield, NC
- NPI 1477810034
-
- Psychiatry Physician
- Wilmington, NC
- NPI 1972990877
-
- Psychiatry Physician
- Wilson, NC
- NPI 1588211049
-
- Psychiatry Physician
- Kinston, NC
- NPI 1982298261
-
- Psychiatry Physician
- Dunn, NC
- NPI 1215461231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1275991150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S MADISON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724129",
"telephone_number": "910-640-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S MADISON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724129",
"telephone_number": "910-640-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LENZY",
"middle_name": "O'DELL",
"credential": "M.A. LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A10941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
- Goshen Medical Center Incorporated (GMC Pharmacy at Whiteville Town Center)
- Goshen Medical Center Incorporated (Goshen Medical Center-Whiteville Mobile Unit)
- Goshen Medical Center, Incorporated
- Goshen Medical Center, Incorporated (Goshen Medical Center - Columbus Pediatrics)
- Barry Walster Graham, LCASA
- Meki Jacobs Graham, ANP-C
- David Lawrence Greco, M.D.
- John R. Greene III, M.D.
- Shaquanna Grovner, LCAS-A
- GSS,LLC (Baldwin Woods Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.