Active NPI
Erin Graham, LCPAT, ATR-BC
- Professional Counselor
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ATC122
- Practice address
- 263 W Patrick St
Frederick, MD 21701-6910 - Phone
- (301) 276-4997
- NPI assigned
- Aug 4, 2015
- Last updated
- Oct 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 | ATC122 | MD | Primary |
Addresses
Primary practice location
263 W Patrick St
Frederick, MD 21701-6910
Mailing address
10703 Lamoka LN
New Market, MD 21774-6891
Phone (410) 279-0380
Other practice location 1
15701 Crabbs Branch Way
Derwood, MD 20855-2634
Phone (301) 251-8965
Other practice location 2
13200 New Hampshire Ave
Silver Spring, MD 20904-3433
Phone (301) 960-1198 ext. 700
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 |
|---|---|---|---|
| ATC122 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Re-Create: Therapy and Wellness | Current | Accepting new patients | |
| Willow Oak Therapy Center, Inc. | Past | Accepting new patients | |
| Jody Tabner Thayer LLC | Past | Accepting new patients |
Locations
263 W Patrick St
Frederick, MD 21701
Phone (301) 276-4997
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Frederick, MD
- NPI 1902523343
-
- Clinical Social Worker
- Bethesda, MD
- NPI 1871064535
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockville, MD
- NPI 1386620581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1508242389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10703 LAMOKA LN",
"city": "NEW MARKET",
"state": "MD",
"postal_code": "217746891",
"telephone_number": "410-279-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016910",
"telephone_number": "301-276-4997"
}
],
"practiceLocations": [
{
"address_1": "15701 Crabbs Branch Way",
"address_purpose": "LOCATION",
"city": "Derwood",
"state": "MD",
"postal_code": "208552634",
"country_code": "US",
"telephone_number": "301-251-8965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13200 New Hampshire Ave",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209043433",
"country_code": "US",
"telephone_number": "301-960-1198 x700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "ERIN",
"credential": "LCPAT, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "ATC122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.