JEFFREY GRAHAM (NPI# 1376159657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376159657 |
| Entity Type | Individual |
| Full Name | JEFFREY GRAHAM |
| Credential | MA, LPC |
| Practice Address |
706 Oglesby Ave Ste 300 Normal IL 61761-4616 |
| Practice Telephone | 3092123606 |
| Mailing Telephone | 3092123606 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178010265 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106394 | Jeffrey Scott Graham | Dentist | 3801 Bee Caves Road, Suite C, Westlake Hills, TX 78746 | 2006-08-26 |
| 1508862020 | Jeffrey S Graham | Urology | 50 Union St, Suite 1400, Ellsworth, ME 04605-1534 | 2005-06-21 |
| 1760879498 | Jeffrey Darin Graham II | Internal Medicine | 750 Hospital Loop, Memorial Regional Hospital, Craig, CO 81625 | 2015-04-21 |
| 1861838153 | Jeffrey Graham | Emergency Medicine | 622 W 168th St # Vc2-260, New York, NY 10032-3720 | 2013-05-14 |
| 1881745024 | Jeffrey M Graham | Dentist | 4767 Highway 58, Suite 125, Chattanooga, TN 37416-2231 | 2007-01-15 |
| 1568573806 | Jeffrey A Graham | Obstetrics & Gynecology | 2725 Capitol Ave, #304, Sacramento, CA 95816-6004 | 2006-08-31 |
| 1609830918 | Jeffrey B Graham | Family Medicine | 206 Asheland Ave, Asheville, NC 28801-4016 | 2006-04-13 |
| 1083693808 | Jeffrey S Graham | Anesthesiology | 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 | 2006-01-11 |
| Street Address |
706 OGLESBY AVE STE 300 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200904 | Pamela Jo Elliott | Counselor | 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 | 2006-08-09 |
| 1396067559 | Elliott Counseling Services, LLC | Counselor | 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499983 | Kimberly Adams | Counselor | 2000 N Linden St Apt N230, Normal, IL 61761-5384 | 2019-07-22 |
| 1114485158 | Metta Counseling | Counselor | 1100 Beech St Ste 7a, Normal, IL 61761-1499 | 2019-03-08 |
| 1417466517 | Karen Herzel | Counselor | 706 Oglesby Ave Ste 111, Normal, IL 61761-4616 | 2017-09-21 |
| 1245697119 | Lisa M Steve | Counselor | 819 Normal Ave, Normal, IL 61761-1531 | 2016-01-24 |
| 1225439342 | Jay L Cummins | Counselor | 706 Oglesby Ave Ste 112, Normal, IL 61761-4618 | 2014-09-08 |
| 1912296518 | Cynthia Rogers West | Counselor | 1119 Whitaker St, Normal, IL 61761-5756 | 2011-04-04 |
| 1851530018 | Horizons Counseling | Counselor | 1100 Beech St Ste 7, Normal, IL 61761-1456 | 2009-02-11 |
| 1588757413 | Thomas Winn Nylund | Counselor | 1015 Porter Ln, Normal, IL 61761-4215 | 2006-10-02 |
| 1346259140 | Patrick J. Carroll | Counselor | 405 Kays Dr, Normal, IL 61761-1979 | 2006-08-08 |
| 1538613237 | Thomas Ellsworth Jenkins | Counselor | 705 E Lincoln St, Normal, IL 61761-6406 | 2016-08-10 |
| Find all providers in NORMAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.