Garrett Maxwell Graves, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21719 Issued in FL

Practice address

1121 N Dixie Fwy
New Smyrna Beach, FL 32168-6069

Phone

(386) 822-8841

NPI assigned

Jan 18, 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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1790490308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WOOD HOLLOW RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327249749",
            "telephone_number": "678-429-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N DIXIE FWY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686069",
            "telephone_number": "386-822-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "GARRETT",
        "middle_name": "MAXWELL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Gopman II
• Lilly Gors, D.C.
• Andrea Lee Grabowski, APRN
• Mai Linh T Graham, PA-C
• Nicola Granger, O.D.
• Karen Lynn Gray, OTR
• Great Strides Rehabilitation Inc.
• Kelly Campbell Grebner, RD
• Kristin Greco
• Emily Rebekah Green, PA-C.

• Mental Health Counselor in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.