Individual provider Active NPI

Louanna Kristi Graham, LADC/MH-SUPERVISOR

  • Addiction (Substance Use Disorder) Counselor
  • Oklahoma City, OK
National Provider Identifier
1376663138
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
8181 NW 23Rd St
Oklahoma City, OK 73127-1182
Phone
(918) 852-3304
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OK Primary

Addresses

Primary practice location

8181 NW 23Rd St
Oklahoma City, OK 73127-1182

Mailing address

8181 NW 23Rd St
Oklahoma City, OK 73127-1182
Phone (918) 852-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000228 OK Practitioner - Mental Health Counselor 5294176558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

1222 10TH St
211 NCBH CMHC
Woodward, OK 73801-3156
Phone (580) 571-3235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince May 1, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince May 1, 2024 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

1222 10th St
Ste 211
Woodward, OK 73801
Phone (580) 256-8615

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1376663138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271182",
            "telephone_number": "918-852-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271182",
            "telephone_number": "918-852-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LOUANNA",
        "middle_name": "KRISTI",
        "name_prefix": "Ms.",
        "credential": "LADC/MH-SUPERVISOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.