Individual provider Active NPI

Lurana L Graham, PH.D., LCSW

  • Mental Health Counselor
  • Rancho Palos Verdes, CA
National Provider Identifier
1588727200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS3738, MFC8359 Issued in CA
Practice address
28631 S Western Ave Ste 107
Rancho Palos Verdes, CA 90275-0816
Phone
(310) 326-7766
Fax
(310) 326-5712
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS3738, MFC8359 CA Primary

Addresses

Primary practice location

28631 S Western Ave Ste 107
Rancho Palos Verdes, CA 90275-0816

Mailing address

28631 S Western Ave Ste 107
Rancho Palos Verdes, CA 90275-0816
Phone (310) 326-7766

Other identifiers 2

IdentifierTypeStateIssuer
MFC8359OtherCAMARRIAGE & FAMILY THERAPI
LCS3738OtherCALICENSED CLINICAL SOCIAL

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS3738, MFC8359CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588727200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28631 S WESTERN AVE STE 107",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750816",
            "telephone_number": "310-326-7766",
            "fax_number": "310-326-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28631 S WESTERN AVE STE 107",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750816",
            "telephone_number": "310-326-7766",
            "fax_number": "310-326-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LURANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS3738, MFC8359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY THERAPI",
            "identifier": "MFC8359",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL",
            "identifier": "LCS3738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.