Dehia Graham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009284 Issued in GA

Practice address

105 Warren Ave
Swainsboro, GA 30401-3645

Phone

(478) 289-8147

Fax

(478) 289-8148

NPI assigned

Feb 16, 2017

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Emanuel Counseling Services, Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Swainsboro, GA
  • NPI 1245748771
  NPD
• Heavenly Homes of Swainsboro, LLC

  dba Heavenly Home

  • Assisted Living Facility
  • Swainsboro, GA
  • NPI 1578797387
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1376082800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARREN AVE",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013645",
            "telephone_number": "478-289-8147",
            "fax_number": "478-289-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARREN AVE",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013645",
            "telephone_number": "478-289-8147",
            "fax_number": "478-289-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DEHIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ga Counseling Group, Inc
• George Gifford IV
• Albertha Glover, RN
• Hannah Gomez
• Jeni Good, LPN
• Mary Ann Green, PMHNP-BC, APRN
• Mary Jo Greenway, NP
• Laura Groth, PMHNP
• Growing Communication, Inc.
• Gwendolyn Moddrell MD PC

• Professional Counselor in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.