Active NPI
Tracy Anna Graham, LMHC
- Mental Health Counselor
- Alamogordo, NM
National Provider Identifier
1811182736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0107181
- Practice address
- 1900 10TH St
Alamogordo, NM 88310-5053 - Phone
- (505) 437-7404
- Fax
- (505) 439-2860
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0107181 | NM | Primary |
Addresses
Primary practice location
1900 10TH St
Alamogordo, NM 88310-5053
Mailing address
1900 10TH St
Alamogordo, NM 88310-5053
Phone (505) 437-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0107181 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1811182736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 10TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105053",
"telephone_number": "505-437-7404",
"fax_number": "505-439-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 10TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105053",
"telephone_number": "505-437-7404",
"fax_number": "505-439-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TRACY",
"middle_name": "ANNA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0107181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.