Active NPI
Chris Sterling Graham
- Rehabilitation Counselor
- Las Cruces, NM
National Provider Identifier
1437482791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 294612
- Practice address
- 1060 S Main St
Las Cruces, NM 88005-2919 - Phone
- (575) 571-5130
- Fax
- (575) 522-3915
- NPI assigned
- Sep 17, 2009
- Last updated
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 294612 | NM | |
| Rehabilitation Counselor | 225C00000X | 294612 | NM | Primary |
Addresses
Primary practice location
1060 S Main St
Las Cruces, NM 88005-2919
Mailing address
PO Box 6005
Las Cruces, NM 88006-6005
Phone (575) 571-5130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294612 | NM | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1437482791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6005",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880066005",
"telephone_number": "575-571-5130",
"fax_number": "575-522-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 S MAIN ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052919",
"telephone_number": "575-571-5130",
"fax_number": "575-522-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CHRIS",
"middle_name": "STERLING",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "294612",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NM",
"license": "294612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.