Individual provider Active NPI

Casey Anne Graham, APC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1487539359
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC010542 Issued in GA
Practice address
111 N McDonough St
Decatur, GA 30030-3317
Phone
(404) 964-6629
NPI assigned
Aug 8, 2025
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC010542 GA Primary

Addresses

Primary practice location

111 N McDonough St
Decatur, GA 30030-3317

Mailing address

777 Memorial Dr SE Unit 343
Atlanta, GA 30316-1392
Phone (828) 773-5331

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

LicenseStateTypeSpecialty
APC010542GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1487539359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MEMORIAL DR SE UNIT 343",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161392",
            "telephone_number": "828-773-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MCDONOUGH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303317",
            "telephone_number": "404-964-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CASEY",
        "middle_name": "ANNE",
        "credential": "APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC010542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.