Rebecca Graham, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.008220 Issued in IL

Practice address

625 N Michigan Ave Ste 1750
Chicago, IL 60611-3116

Phone

(773) 818-6800

NPI assigned

Jul 2, 2013

Last updated

Jul 2, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Self Design, Inc

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1023374261
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1326488537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 W CORTEZ ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE STE 1750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113116",
            "telephone_number": "773-818-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Graham, CNM,APN
• Nathan James Graham, MD
• Nicole C Graham, ATC, LAT
• Patrick Graham, RN, MSN, ANP-BC
• Rachael Graham, LCSW
• Robert O Graham, M.D.
• Shelby Graham
• William Graham, PT
• Gordan Grahovac
• Grainne McKeown Acupuncture Corp.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.