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 Galax, 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 July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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

6999 CARROLLTON PIKE STE 2, GALAX, VA 24333(276) 238-5600(276) 238-1772 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Sep 22, 2020 (2 updates tracked since 2020).

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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 Galax, Virginia, licensed in Virginia (0701009936) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104432491

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER LEE GRAHAMCredential: LPC

Location Address6999 CARROLLTON PIKE STE 2Galax, VA 24333-6341

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

Phone(276) 238-5600

Fax(276) 238-1772

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 22, 2020

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 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

6999 CARROLLTON PIKE STE 2, Galax, VA 24333

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Secondary Practice Locations 2

Location 111945 Fancy Gap HwyCana, VA 24317-3401 · Phone (276) 755-2203 · Fax (276) 398-3331

Location 214558 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 6

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

NANCY SUE SHUPE LPC

Counselor (Professional)