Active NPI
Garrett Graham
- Counselor
- Fort Collins, CO
National Provider Identifier
1972316123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC.0022616
- Practice address
- 343 W Drake Rd Ste 240
Fort Collins, CO 80526-2880 - Phone
- (970) 829-0476
- NPI assigned
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0022616 | CO | Primary |
Addresses
Primary practice location
343 W Drake Rd Ste 240
Fort Collins, CO 80526-2880
Mailing address
3333 Iris Ave Ste 104
Boulder, CO 80301-1998
Phone (501) 764-8268
Other practice location 1
3333 Iris Ave Ste 104
Boulder, CO 80301-1998
Phone (501) 764-8268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0022616 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1972316123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 IRIS AVE STE 104",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011998",
"telephone_number": "501-764-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 W DRAKE RD STE 240",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262880",
"telephone_number": "970-829-0476"
}
],
"practiceLocations": [
{
"address_1": "3333 Iris Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803011998",
"country_code": "US",
"telephone_number": "501-764-8268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "GARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPCC.0022616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.