Carolyn Graves

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

319 Tazewell Ave
Bluefield, VA 24605-1927

Phone

(276) 322-3916

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1366034324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 TAZEWELL AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 TAZEWELL AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051927",
            "telephone_number": "276-322-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibson Counseling Center (The Gibson Counseling Center)
• Jerry Dean Gibson, M.A., ED.D. LPC, NCC
• Pamela Roberts Gibson, LPC
• Catherine Gillespie, MS, CCC-SLP
• Heather Ward Gillian
• Katrina Lynn Gregory, LPTA
• David Scott Grouse, MD
• H2 Rehabilitation Services of Virginia, LLC (H2 Health)
• Jonathan R Hall, DO
• David M. Harris, M.D.

• Community Health Worker in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Community Health Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.