Chandra Jeanne Graham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8422 Issued in NC

Practice address

4101 W Carthage Rd
Lumberton, NC 28360-9389

Phone

(910) 738-7963

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Behavioral Services IncGroup PAC ID 6406003334, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Behavioral Services Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1457657645
  Medicare reassignment Care Compare group NPD
• Compassion Connect Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Lumberton, NC
  • NPI 1831068931
  NPD
• Butterfly Retreat Counseling PLLC

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1285242990
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1700161635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W CARTHAGE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609389",
            "telephone_number": "910-738-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W CARTHAGE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609389",
            "telephone_number": "910-738-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHANDRA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber M. Gordon, RD,LDN
• Paul Anthony Gordon, M.D.
• Gayle Sarah Gottlieb, D.D.S
• Grace Home Care Agency
• Barry Gerard Graham, PA-C
• Charles Graham
• Kevin Eugene Graham, MSW, LCAS
• Zoe Rose Naumburg Gravitz, MD
• Greater Carolina Ear Nose &Throat P.a.
• Ashley Green, RD, LDN

• Professional Counselor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.