Individual provider Active NPI

Lena Clarice McGraw, CDCA

  • Peer Specialist
  • Cleveland, OH
National Provider Identifier
1639633878
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
000673 Issued in OH
Practice address
3364 W 91St St
Cleveland, OH 44102-4834
Phone
(216) 630-1608
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 165991 OH
Peer Specialist 175T00000X 000673 OH Primary

Addresses

Primary practice location

3364 W 91St St
Cleveland, OH 44102-4834

Mailing address

3364 W 91St St
Cleveland, OH 44102-4834
Phone (216) 630-1608

Other practice location 1

1320 Washington Ave
Cleveland, OH 44113-2333
Phone (216) 781-0550

Other identifiers 2

IdentifierTypeStateIssuer
000673OtherOHOHIO CERTIFIED PEER RECOVERY SUPPORTER
165991OtherOHOCDP

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

LicenseStateTypeSpecialty
165991OHMDAddiction (Substance Use Disorder) Counselor
000673OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1639633878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 W 91ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024834",
            "telephone_number": "216-630-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 W 91ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024834",
            "telephone_number": "216-630-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132333",
            "country_code": "US",
            "telephone_number": "216-781-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "LENA",
        "middle_name": "CLARICE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "165991",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "000673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CERTIFIED PEER RECOVERY SUPPORTER",
            "identifier": "000673",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCDP",
            "identifier": "165991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.