Kandace Leigh Graves, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13510 Issued in NC

Practice address

1501 N Charlotte Ave Ste B127
Monroe, NC 28110-2525

Phone

(978) 712-8110

Fax

(877) 356-3296

NPI assigned

Jan 29, 2018

Sex

Female

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

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Soul Counseling and Group Therapy

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1922644541

  Mental Health

  Medicare reassignment NPD Authorized official
• Serenity Space Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1851773360

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1831697564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CHARLOTTE AVE STE B127",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102525",
            "telephone_number": "978-712-8110",
            "fax_number": "877-356-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CHARLOTTE AVE STE B127",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102525",
            "telephone_number": "978-712-8110",
            "fax_number": "877-356-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KANDACE",
        "middle_name": "LEIGH",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gottlieb, PT
• Magdalena Grabowska
• Graceful Haven
• Ronnabelle Berdos Grasso, PT, DPT
• Chelsey Monet Emma Gravely, FNP-C
• Laura Gray, CCC-SLP
• Greater Grace Group Home Incorporated
• Greater Grace Group Home Incorporated
• Kelsey Elena Green Harman, PA-C
• Denice M. Greene, LCMHC

• Mental Health Counselor in Monroe, NC
• Providers in Monroe, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2023; 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.

Verify at the official NPI Registry.