Theresa Graham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009487 Issued in GA

Practice address

4500 N Point Pkwy
Alpharetta, GA 30022-2409

Phone

(678) 762-0370

Fax

(678) 762-0371

NPI assigned

Jul 1, 2022

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sunrise Detox Duluth, LLC

  • Substance Abuse Rehabilitation Facility
  • Duluth, GA
  • NPI 1649914813
  Medicare reassignment NPD
• Counseling Center at Duluth LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Duluth, GA
  • NPI 1770234650
  Medicare reassignment
• Counseling Center at Roswell LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
  • NPI 1538810338
  Medicare reassignment
• The Counseling Center at Duluth Ga, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Duluth, GA
  • NPI 1063353092
  NPD (past)
• The Counseling Center at Roswell Ga, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
  • NPI 1255272282
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1487387908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N POINT PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222409",
            "telephone_number": "678-762-0370",
            "fax_number": "678-762-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N POINT PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222409",
            "telephone_number": "678-762-0370",
            "fax_number": "678-762-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Home Care LLC
• Grace Medical Entreprises
• Lauryn Graham
• Samantha Graham
• Savannah Graham, PA
• Graivier Surgery Center
• Debbie Granovsky, LCSW
• Grant Mill Healthcare Solutions, LLC
• Joy C Grant, CNM
• Taylor Grant, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.