Individual provider Active NPI

Carrie Graham, M.A

  • Counselor
  • Florence, SC
National Provider Identifier
1811389307
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PC1797MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 0547784027, 2 clinicians

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

LicenseStateTypeSpecialty
6591SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Graham Counseling, LLC CurrentSince Mar 21, 2025 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.

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

Verify at the official NPI Registry.