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GRAHAM LIVESAY
NPI 1124681986
Counselor - Professional in San Mateo, CA

Active since April 17, 2019PECOS Enrolled
2015 PIONEER CT STE B, SAN MATEO, CA 94403(650) 348-6603 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2023, Apr 17, 2019 (2 updates tracked since 2019).

About Graham Livesay NPPES

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

GRAHAM LIVESAY (NPI 1124681986) is an individual professional provider in San Mateo, California, licensed in California (LPCC13305) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1124681986
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGRAHAM LIVESAY
Location Address2015 PIONEER CT STE BSan Mateo, CA 94403-1736
Mailing Address2015 Pioneer Ct Ste BSan Mateo, CA 94403-1736
Phone(650) 348-6603
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1124681986 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 CA · LPCC13305
2015 PIONEER CT STE B, San Mateo, CA 94403
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Secondary Practice Location 1

Location 12015 Pioneer Ct Ste BSan Mateo, CA 94403-1736 · Phone (650) 348-6603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Graham Livesay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
6.3 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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 12

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

ANNA HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
MARIA MAKARIAN
Social Worker (Clinical)
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
MR. RODRIGO XAVIER CALDERA MA, AMFT
Marriage & Family Therapist
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
TATIANA M GRELLI
Counselor (Addiction (Substance Use Disorder))
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
MRS. JENNIFER LEE VANAMAN ASW
Social Worker (Clinical)
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (415) 786-3993
JAN GABRIELLE GALINANES LMFT, ATR-BC
Marriage & Family Therapist
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
MELISSA LARCHER
Counselor (Addiction (Substance Use Disorder))
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603
MR. MARIO SALOMON BANDES JR.
Marriage & Family Therapist
2015 PIONEER CT STE B
SAN MATEO, CA 94403
San Mateo County (650) 348-6603

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 Graham Livesay's NPI number?

The NPI number for Graham Livesay is 1124681986. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Graham Livesay located?

Graham Livesay practices at 2015 Pioneer Ct Ste B, San Mateo, CA 94403. The listed phone number is (650) 348-6603.

What is Graham Livesay's specialty?

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

Is Graham Livesay enrolled in Medicare?

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

Which organization bills Medicare for Graham Livesay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Graham Livesay reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Graham Livesay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Graham Livesay was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.