Organization Active NPI

Alicia Graham, PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1700638491
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALICIA GRAHAM, PLLC
Practice address
304 Hidden Springs Dr
Durham, NC 27703-4921
Phone
(919) 495-6469
Fax
(919) 957-9296
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Alicia Graham, LCMHC, NCCNPI 1902021611
Title
Owner
Phone
(919) 495-6469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

304 Hidden Springs Dr
Durham, NC 27703-4921

Mailing address

304 Hidden Springs Dr
Durham, NC 27703-4921
Phone (919) 495-6469

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1700638491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HIDDEN SPRINGS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034921",
            "telephone_number": "919-495-6469",
            "fax_number": "919-957-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HIDDEN SPRINGS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034921",
            "telephone_number": "919-495-6469",
            "fax_number": "919-957-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA GRAHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-495-6469",
        "authorized_official_credential": "LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.