Individual provider Active NPI

Cindy Lynn McGraw

  • Counselor
  • Waterford, MI
National Provider Identifier
1750895736
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401002855 Issued in MI
Practice address
3455 Whitfield Dr
Waterford, MI 48329-1159
Phone
(248) 736-4521
Fax
(248) 623-1766
NPI assigned
Nov 28, 2017
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401002855 MI Primary

Addresses

Primary practice location

3455 Whitfield Dr
Waterford, MI 48329-1159

Mailing address

3455 Whitfield Dr
Waterford, MI 48329-1159
Phone (248) 736-4521

Other identifiers 1

IdentifierTypeStateIssuer
VS0091165MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001795 MI Practitioner - Mental Health Counselor 2961946553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McGraw & Associates Counseling and Consulting, LLC Counselor CurrentSince Apr 22, 2024 Accepting new patients
Genuine Solutions Counseling Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1750895736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WHITFIELD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291159",
            "telephone_number": "248-736-4521",
            "fax_number": "248-623-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WHITFIELD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291159",
            "telephone_number": "248-736-4521",
            "fax_number": "248-623-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "CINDY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401002855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0091165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.