Active NPI
Kira Graves Enterprise LLC
Doing business as Rose Tree Psychological
- Psychologist
- Media, PA
National Provider Identifier
1609569987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KIRA GRAVES ENTERPRISE LLC
- Doing business as
- Rose Tree Psychological
- Practice address
- 24 Veterans SQ
Media, PA 19063-3155 - Phone
- (484) 440-9020
- NPI assigned
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kira Graves, PHD, LPC
- Title
- Cep
- Phone
- (610) 348-7642
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | Primary | ||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
24 Veterans SQ
Media, PA 19063-3155
Mailing address
625 S Goddard Blvd Apt 358
King of Prussia, PA 19406-2066
Phone (610) 348-7642
Other names 1
- Rose Tree Psychological
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1609569987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S GODDARD BLVD APT 358",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062066",
"telephone_number": "610-348-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 VETERANS SQ",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633155",
"telephone_number": "484-440-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRA GRAVES ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "KIRA",
"authorized_official_title_or_position": "CEP",
"authorized_official_telephone_number": "610-348-7642",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rose Tree Psychological",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.