Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER LEE GRAHAM LPC
NPI 1104432491
Counselor - Professional in Cana, VA

Q: What is Jennifer Graham's NPI number?

The NPI number for Jennifer Graham is 1104432491. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Jennifer Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Graham was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2020PECOS Enrolled

11945 FANCY GAP HWY, CANA, VA 24317(276) 755-2203(276) 398-3331 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Jul 21, 2026, Sep 22, 2020 (3 updates tracked since 2020).

On this page

About Jennifer Lee Graham Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LEE GRAHAM LPC (NPI 1104432491) is an individual professional provider in Cana, Virginia, licensed in Virginia (0701009936) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Laurel Fork, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104432491

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER LEE GRAHAMCredential: LPC

Location Address11945 FANCY GAP HWYCana, VA 24317-3401

Mailing AddressPo Box 9Laurel Fork, VA 24352-0009 · (276) 398-2292 · Fax (276) 398-3331

Phone(276) 755-2203

Fax(276) 398-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 22, 2020

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1104432491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701009936

11945 FANCY GAP HWY, Cana, VA 24317

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Secondary Practice Location 1

Location 114558 Danville PikeLaurel Fork, VA 24352-3982 · Phone (276) 398-2292 · Fax (276) 398-3331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lee Graham Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668816430

PECOS Enrollment IDI20240220002853

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI AREA COMMUNITY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))

11945 FANCY GAP HWY
CANA, VA 24317

Carroll County (888) 908-4788

MS. CAROLE RENEE EVERHART DNP, FNP-C

Nurse Practitioner (Family)

11945 FANCY GAP HWY
CANA, VA 24317

Carroll County (888) 908-4788

MS. SHERRY ELAINE TAYLOR FNP

Nurse Practitioner (Family)

11945 FANCY GAP HWY
CANA, VA 24317

Carroll County (276) 755-2203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Graham's NPI number?

The NPI number for Jennifer Graham is 1104432491. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Jennifer Graham located?

Jennifer Graham practices at 11945 Fancy Gap Hwy, Cana, VA 24317. The listed phone number is (276) 755-2203.

What is Jennifer Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Graham enrolled in Medicare?

Yes. Jennifer Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Graham was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.