Madeleine Kayne Graves, P-LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P-1038 Issued in MS

Practice address

7075 Golden Oaks Loop W
Southaven, MS 38671-9010

Phone

(662) 228-0130

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By 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

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.

• Irby Psychological Services, LLC

  • Psychologist
  • Southaven, MS
  • NPI 1568093912

  Professional

  NPD

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1336914175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719010",
            "telephone_number": "662-228-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MADELEINE",
        "middle_name": "KAYNE",
        "credential": "P-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "P-1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Grafe
• Amy Renae Graham, DPT
• Javel Granados, MD
• Mary Grant, FNP
• Katherine Rivers Graves, AU.D.
• Keshell Antron Gray, M.S., CCC-SLP
• Madeline Marie Gray, LMSW
• Wesley Allen Gray, NP
• Allison Green, PHARM.D.
• Latonya Turner Green, MD

• Professional Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.