Allie Graham, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2312013 Issued in AR

Practice address

139C E Jackson Ave
Monticello, AR 71655-4933

Phone

(870) 224-8108

Fax

(870) 224-8110

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Allie Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BHC Pinnacle Pointe Healthcare

  • Adolescent and Children Mental Health Clinic/Center
  • Monticello, AR
  • NPI 1508348038
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1750155883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139C E JACKSON AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554933",
            "telephone_number": "870-224-8108",
            "fax_number": "870-224-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139C E JACKSON AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554933",
            "telephone_number": "870-224-8108",
            "fax_number": "870-224-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ALLIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2312013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "HALL",
            "credential": "QBHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Gifford
• April Brandy Glasscock, APRN, PMHNP
• Kellie Gober, LMSW
• Ashley Goggans, PTA
• Shanae Govan
• Grand Manor
• Michelle Grant, APRN-CNP
• Jayce Gray, QBHP
• Kourtney Griddine
• Janie Griffin, MHPP

• Mental Health Counselor in Monticello, AR
• Providers in Monticello, AR by specialty
• Mental Health Counselor in Arkansas

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