Heather Marie Graves, MA, LCPC, LMAC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3634 Issued in KS

Practice address

12712 Metcalf Avenue
Suite 103
Overland Park, KS 66213

Phone

(913) 638-6954

NPI assigned

Aug 25, 2020

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1811500325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12712 METCALF AVENUE",
            "address_2": "SUITE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-638-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12712 METCALF AVENUE",
            "address_2": "SUITE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-638-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6331 W 110th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111509",
            "country_code": "US",
            "telephone_number": "913-696-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "MA, LCPC, LMAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Grantham, OTR
• Mallory Michelle Grassmuck, MS, RD, LD
• Breanne Nichole Grassy
• Eden Graves-Dillon
• Alexa Kathryn Graves, PHARMD
• Jeffery Justin Graves, MD
• Kyndall Graves
• Lariah Graves
• Captain K Gray, MD
• Emily M. Gray, CRNA

• Professional Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.