Active NPI
Joyce Graham, LPC
- Counselor
- Florissant, MO
National Provider Identifier
1578002929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2013011419
- Practice address
- 203 Dunn Rd
Florissant, MO 63031-7928 - Phone
- (314) 580-9987
- NPI assigned
- Feb 17, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2013011419 | MO | Primary |
Addresses
Primary practice location
203 Dunn Rd
Florissant, MO 63031-7928
Mailing address
1028 Saratoga Springs CT
Florissant, MO 63034-3501
Phone (314) 580-9987
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 |
|---|---|---|---|
| 2013011419 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1578002929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 SARATOGA SPRINGS CT",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343501",
"telephone_number": "314-580-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 DUNN RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317928",
"telephone_number": "314-580-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JOYCE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2013011419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.