Active NPI
Carrie Graham, M.A
- Counselor
- Florence, SC
National Provider Identifier
1811389307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1505 Heritage LN
Suite B
Florence, SC 29505-3141 - Phone
- (843) 667-1905
- Fax
- (843) 667-1723
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1505 Heritage LN
Suite B
Florence, SC 29505-3141
Mailing address
1057 Patrick Dr
Florence, SC 29501-8459
Phone (843) 713-9854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1797 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250406000004 | SC | Practitioner - Mental Health Counselor | 1456875939 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carrie Graham Counseling, LLC
Practice addresses (Care Compare)
1057 Patrick Dr
Florence, SC 29501-8459
603 W Palmetto St
Florence, SC 29501-4301
Phone (843) 713-9854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6591 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrie Graham Counseling, LLC | Current | Accepting new patients | |
| CW Counseling and Consulting, LLC | Past | Accepting new patients |
Locations
110 Cherry St
Darlington, SC 29532
Phone (843) 393-5831
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 and National Provider Directory roles.
-
- Professional Counselor
- Florence, SC
- NPI 1114762135
-
- Clinical Social Worker
- Florence, SC
- NPI 1225165871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668297600000",
"number": "1811389307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 PATRICK DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018459",
"telephone_number": "843-713-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 HERITAGE LN",
"address_2": "SUITE B",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053141",
"telephone_number": "843-667-1905",
"fax_number": "843-667-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CARRIE",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2022-11-13",
"certification_date": "2022-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1797",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.