Active NPI
Kristin Leigh Graham, LPC
- Mental Health Counselor
- Birmingham, AL
National Provider Identifier
1982330866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3551
- Practice address
- 2100A Southbridge Pkwy Ste 650
Birmingham, AL 35209-1377 - Phone
- (205) 236-9136
- NPI assigned
- Jul 25, 2022
- Last updated
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3551 | AL | Primary |
Addresses
Primary practice location
2100A Southbridge Pkwy Ste 650
Birmingham, AL 35209-1377
Mailing address
913 Golden Crest Cir
Birmingham, AL 35209-1117
Phone (205) 335-3534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC04691 | Other | AL | ALABAME BOARD OF EXAMINERS IN COUNSELING |
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 |
|---|---|---|---|
| 3551 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1982330866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 GOLDEN CREST CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352091117",
"telephone_number": "205-335-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100A SOUTHBRIDGE PKWY STE 650",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352091377",
"telephone_number": "205-236-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KRISTIN",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAME BOARD OF EXAMINERS IN COUNSELING",
"identifier": "LPC04691",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.