Christy Ann Graham, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

16563 Issued in TX

Practice address

1430 Robinson Rd Ste 430
Corinth, TX 76210-3155

Phone

(940) 222-8703

Fax

(940) 239-9867

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Christy Ann Demous Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2020.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1457360893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD STE 430",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762103155",
            "telephone_number": "940-222-8703",
            "fax_number": "940-239-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD STE 430",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762103155",
            "telephone_number": "940-222-8703",
            "fax_number": "940-239-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141925102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "DEMOUS",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Corinth, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.