Barry Walster Graham, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

732 Davis Ave
Whiteville, NC 28472-6002

Phone

(910) 640-1038

Fax

(910) 640-1465

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1689750663
  NPD

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1316296874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DOLL ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379561",
            "telephone_number": "910-879-0006",
            "fax_number": "910-879-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 DAVIS AVE",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284726002",
            "telephone_number": "910-640-1038",
            "fax_number": "910-640-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BARRY",
        "middle_name": "WALSTER",
        "credential": "LCASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "2720A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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 - Whiteville Dental Services)
• Goshen Medical Center, Incorporated (Goshen Medical Center - Columbus Pediatrics)
• Lenzy O'Dell Graham, M.A. LPC-A
• Meki Jacobs Graham, ANP-C
• David Lawrence Greco, M.D.
• John R. Greene III, M.D.
• Shaquanna Grovner, LCAS-A

• Addiction (Substance Use Disorder) Counselor in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.