Malia Graves, LMFT ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I5670 Issued in OR

Practice address

1636 SE Taylor St Apt 8
Portland, OR 97214-2678

Phone

(503) 425-9452

NPI assigned

Jan 18, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1942952270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 SE TAYLOR ST APT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142678",
            "telephone_number": "503-425-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 SE TAYLOR ST APT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142678",
            "telephone_number": "503-425-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MALIA",
        "credential": "LMFT ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "I5670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATE",
            "identifier": "I5670",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "malia.graves.counseling@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Email, encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1636 SE Taylor St Apt 8",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Beatrice Graves
• Crystal Graves
• John Graves, CADC I
• Lucy Graves
• Madeline Paris Graves, RBT
• Rachel Sinex Graves, M.D.
• Teresa Lynn Graves, BEHAVIOR TECHNICIAN
• Amanda Graveson
• Max Winter Graviano
• Donna Jensen Graville, PH.D., CCC-SLP

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.