Rebecca Crawford Graham, MA, LPC, CACII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003951 Issued in GA

Practice address

242 Creekstone RDG
Suite 242
Woodstock, GA 30188-3732

Phone

(678) 445-4184

Fax

(678) 445-5146

NPI assigned

Dec 9, 2008

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

Other identifiers 1

Other names 1

• Ms. Rebecca Allen Crawford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1861637647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 CREEKSTONE RDG",
            "address_2": "SUITE 242",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "678-445-4184",
            "fax_number": "678-445-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 CREEKSTONE RDG",
            "address_2": "SUITE 242",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "678-445-4184",
            "fax_number": "678-445-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "REBECCA",
        "middle_name": "CRAWFORD",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11893232",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CRAWFORD",
            "middle_name": "ALLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sidney A Gottlieb, O.D.
• Christopher Allen Goult, PT, DPT
• Graham Pediatrics of Woodstock LLC
• Fitzroy Henry Graham, MD
• Rachel Graham, NTP
• Grainne Transportation LLC
• Samantha Liane Grant, MBBS
• Angela M Graves
• Kimber Gray, M.ED. CCC-SLP
• Theresa Gray, LMSW

• Professional Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.