Gerald S Graham, DOCTOR OF PSYCHOLOGY

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05730 Issued in AL

Practice address

170 Marina Point Rd
Dadeville, AL 36853-5761

Phone

(334) 559-3875

NPI assigned

Oct 13, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1750162889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MARINA POINT RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368535761",
            "telephone_number": "334-559-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MARINA POINT RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368535761",
            "telephone_number": "334-559-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GERALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Lou Epperson, PHARM.D.
• F. Kent Norris D.M.D., P.C.
• Find a Way Service
• Find a Way Service LLC
• Pamela Bass Gam, RPH
• Taylor L Hayes, PMHNP-BC
• Brock Kyle Hodson
• Joshua Carr Hollingsworth, PHARM.D.
• Home Respiratory Care
• Audrey Ann Hrinda, LPC

• All providers in Dadeville, AL
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.