Active NPI
Rochelle Simone Graham, LPC
- Professional Counselor
- Hartsville, SC
National Provider Identifier
1477988368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5579
- Practice address
- 144 Marlboro Ave
Hartsville, SC 29550-4218 - Phone
- (843) 992-6014
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5579 | SC | Primary |
Addresses
Primary practice location
144 Marlboro Ave
Hartsville, SC 29550-4218
Mailing address
PO Box 2898
Hartsville, SC 29551-2898
Phone (843) 992-6014
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 |
|---|---|---|---|
| 5579 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1477988368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2898",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295512898",
"telephone_number": "843-992-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 MARLBORO AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504218",
"telephone_number": "843-992-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ROCHELLE",
"middle_name": "SIMONE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.