Holly Amanda Graham, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC46684 Issued in CA

Practice address

2920 F St
Suite H-12
Bakersfield, CA 93301-1845

Phone

(661) 201-1449

Fax

(661) 327-4536

NPI assigned

Jan 12, 2011

Last updated

Jan 12, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graham Delis Marriage & Family Therapy

  dba Virtual Therapy Live

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1407362247
  NPD Authorized official

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1881999431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 F ST",
            "address_2": "SUITE H-12",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011845",
            "telephone_number": "661-201-1449",
            "fax_number": "661-327-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 F ST",
            "address_2": "SUITE H-12",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011845",
            "telephone_number": "661-201-1449",
            "fax_number": "661-327-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HOLLY",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy M. a. Graff, PA-C
• Brittney Gragg
• Graham Chiropractic Inc
• Graham Delis Marriage & Family Therapy (Virtual Therapy Live)
• Anne Bernadette Graham, FNP-C
• Lezzli Graham, LCSW
• Lillie Graham
• Randall Todd Graham, DC
• Robin Graham
• Samantha Ashley Graham

• Marriage & Family Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.