CAROLINE GRAHAM
NPI 1114563681
Counselor - Mental Health in Salt Lake City, UT

Active since November 20, 2019PECOS Enrolled
131 E 700 S, SALT LAKE CITY, UT 84111(801) 707-1590 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Nov 20, 2019 (2 updates tracked since 2019).

About Caroline Graham NPPES

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

CAROLINE GRAHAM (NPI 1114563681) is an individual mental health provider in Salt Lake City, Utah, licensed in Washington (MHC.LH.61638392) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kent, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114563681
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLINE GRAHAM
Location Address131 E 700 SSalt Lake City, UT 84111-3805
Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444 · Fax (253) 661-8631
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2019
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1114563681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · MHC.LH.61638392✔ Licensed in UT · 11332950-6009
131 E 700 S, Salt Lake City, UT 84111

Secondary Practice Location 1

Location 1325 W Gowe StKent, WA 98032-5892 · Phone (253) 833-7444 · Fax (253) 661-8631

Other Identifiers 1

Medicaid2339779WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284086406
PECOS Enrollment IDI20250923003694
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.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
325 W GOWE ST
Kent, WA 98032
  • Reassigned Medicare billing, Washington enrollment
  • 125 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111
Community Health Worker
131 E 700 S
SALT LAKE CITY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CTY, UT 84111
Case Manager/Care Coordinator
131 E 700 S
SALT LAKE CITY, UT 84111

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 Caroline Graham's NPI number?

The NPI number for Caroline Graham is 1114563681. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Caroline Graham located?

Caroline Graham practices at 131 E 700 S, Salt Lake City, UT 84111. The listed phone number is (801) 707-1590.

What is Caroline Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Caroline Graham enrolled in Medicare?

Yes. Caroline Graham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Graham reassigns Medicare benefits to Valley Cities Counseling And Consultation (Kent, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Graham accept?

Health plans from Ambetter Health, Providence Health Plan and Select Health list Caroline Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Graham was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.