KELLY MARIE GRAHAM (NPI# 1396258232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396258232 |
| Entity Type | Individual |
| Full Name | KELLY MARIE GRAHAM |
| Credential | BA, CDCA, MSCJ |
| Practice Address |
2005 Ashland Ave Toledo OH 43620-1703 |
| Practice Telephone | 4198417701 |
| Practice Fax Number | 4198436622 |
| Mailing Telephone | 4198417701 |
| Mailing Fax Number | 4198436622 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669682 | Kelly Graham | Specialist/Technologist | 601 Custis Rd, Glenside, PA 19038-2013 | 2017-03-02 |
| 1649446774 | Kelly Ann Graham | Occupational Therapist | 161 Se 5th Ct, Pompano Beach, FL 33060-7164 | 2008-05-08 |
| 1447239629 | Kelly Leigh Graham | Optometrist | 113 N Plaza Ct, Van Buren, AR 72956-2269 | 2006-01-16 |
| 1720530629 | Kelly Graham | Nurse Practitioner | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2016-10-26 |
| 1780031625 | Kelly Ann Graham | Physical Therapy Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2016-05-20 |
| 1174915862 | Kelly Graham | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2015-03-04 |
| 1750783981 | Kelly Graham | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-09-18 |
| 1417369240 | Kelly Graham | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2014-05-28 |
| 1821410309 | Kelly Jean Graham | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2014-01-17 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| Street Address |
2005 ASHLAND AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43620-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700445 | Liberty Nursing Center of Toledo, Inc | Skilled Nursing Facility | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2006-06-17 |
| 1033710660 | Michael James Erskine | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-11-02 |
| 1679174213 | Angenae Zaahir-bey | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-11-02 |
| 1568061968 | Regina Hudsonlewis | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-10-19 |
| 1003421363 | Kiana Cole | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-09-14 |
| 1457965139 | Walaa Jalal Kanan | Social Worker | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-09-01 |
| 1952911224 | Brianna Jones | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-08-03 |
| 1194343517 | Amber Rhea Hayes | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-07-13 |
| 1841817624 | Melissa Ann Monhollen | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-06-29 |
| 1255955431 | Destiny Lynn Perez | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1942838404 | Emma L Mason | Student in an Organized Health Care Education/Training Program | Fcc-ob/gyn, 2213 Franklin St, Toledo, OH 43620 | 2020-03-31 |
| 1932762093 | Leela Miriyala | Student in an Organized Health Care Education/Training Program | Mercy Family Care Centre, 2213 Franklin Ave, Toledo, OH 43620 | 2019-04-15 |
| 1144726563 | Kelly Hildebrandt | Student in an Organized Health Care Education/Training Program | Mercy Health Pediatrics, 2213 Franklin Ave., Toledo, OH 43620 | 2018-04-04 |
| 1447754601 | Ansam Qaddoori Hasan | Student in an Organized Health Care Education/Training Program | Mercy Health Pediaterics, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-22 |
| 1730683038 | Rizwan Ishtiaq | Student in an Organized Health Care Education/Training Program | Mercy Family Care Center, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-21 |
| 1205338019 | Celia Marie Camardo Russo | Student in an Organized Health Care Education/Training Program | 2213 Franklin Street, Fcc-ob/gyn, Toledo, OH 43620 | 2018-03-07 |
| 1326547704 | Andrew Greene | Student in an Organized Health Care Education/Training Program | 2213 Franklin St, Fcc-ob/gyn, Toledo, OH 43620 | 2018-02-12 |
| 1073048096 | Akshita Singh | Internal Medicine | 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 | 2017-04-27 |
| 1972038578 | Vanaja Theepa Sivakumar | Student in an Organized Health Care Education/Training Program | Mercy Health Franklin Avenue Pediatrics, 2213 Franklin St., Toledo, OH 43620 | 2017-04-21 |
| Find all providers in zip 43620 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856572 | Enhanced Services, LLC | Counselor | 3550 Executive Pkwy Ste 7-234, Toledo, OH 43606-1379 | 2020-09-22 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1750901245 | Angela Swolsky | Counselor | 6800 W Central Ave Ste D2, Toledo, OH 43617-1157 | 2020-04-24 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1083247415 | David Virgil Oxner Jr. | Counselor | 2822 Upton Ave, Toledo, OH 43606-3959 | 2020-02-13 |
| 1558991455 | Sabrina Latrice English | Counselor | 429 Waybridge Rd, Toledo, OH 43612-3415 | 2020-01-19 |
| 1154968964 | Porsha Pratt | Counselor | 500 Madison Ave Ste 501, Toledo, OH 43604-1210 | 2019-11-30 |
| 1235775362 | Catherine Mcgurk | Counselor | 316 N Michigan St Ste 414, Toledo, OH 43604-5627 | 2019-11-25 |
| 1942852587 | Lindsey Williams-diggins | Counselor | 5841 Dorr St Apt 2, Toledo, OH 43615-3443 | 2019-07-14 |
| 1245891266 | Nancy Martin | Counselor | 6727 Hill Ave Unit Cd, Toledo, OH 43615-5559 | 2019-06-21 |
| Find all providers in TOLEDO | ||||
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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.