Nichole D Graves, M.A., LPC, LADC/MH
Individual provider Active NPI Counselor · Cushing, OK
NPI 1497040968 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1497040968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 5025 (OK)
- Practice address
- 1442 E Oak St
Cushing, OK 74023-3644 - Phone
- (918) 285-0947
- Fax
- (918) 376-0170
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Counseling and Wellbeing Group LLC | Current |
Accepting new patients |
Locations
1442 E Oak St
Cushing, OK 74023
Phone (918) 221-0896
321 E Main St
Cushing, OK 74023
Phone (918) 285-6268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1065 | OK | |
| Behavior Analyst | 103K00000X | |||
| Counselor | 101Y00000X | 5025 | OK | Yes |
Addresses
Primary practice location
1442 E Oak St
Cushing, OK 74023-3644
Mailing address
1442 E Oak St
Cushing, OK 74023-3644
Phone (918) 285-0947
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200350220C | Medicaid | OK |
Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.