Active NPI
Terrence Wayne Graham, MS, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1598942864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1222
- Practice address
- 2113 Swimming Hole Cir
Raleigh, NC 27610-5377 - Phone
- (919) 623-4059
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1222 | NC | Primary |
Addresses
Primary practice location
2113 Swimming Hole Cir
Raleigh, NC 27610-5377
Mailing address
PO Box 46043
Raleigh, NC 27620-6043
Phone (919) 268-0968
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1598942864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46043",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276206043",
"telephone_number": "919-268-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 SWIMMING HOLE CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105377",
"telephone_number": "919-623-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TERRENCE",
"middle_name": "WAYNE",
"credential": "MS, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.