Active NPI
Gregory Scott Graham, MS
- Addiction (Substance Use Disorder) Counselor
- Fairlee, VT
National Provider Identifier
1295038925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000090
- Practice address
- 1098 Wild Hill Rd
Fairlee, VT 05045-9525 - Phone
- (802) 380-1026
- NPI assigned
- Dec 20, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000090 | VT | Primary |
Addresses
Primary practice location
1098 Wild Hill Rd
Fairlee, VT 05045-9525
Mailing address
1098 Wild Hill Rd
Fairlee, VT 05045-9525
Phone (802) 380-1026
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000090 | VT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1295038925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 WILD HILL RD",
"city": "FAIRLEE",
"state": "VT",
"postal_code": "050459525",
"telephone_number": "802-380-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 WILD HILL RD",
"city": "FAIRLEE",
"state": "VT",
"postal_code": "050459525",
"telephone_number": "802-380-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlee, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.