MRS. ROXANN NOLE-GRAHAM M.S. NCC LPC
NPI 1255619474
Counselor - Professional in Scranton, PA

Q: What is Roxann Nole-graham's NPI number?

The NPI number for Roxann Nole-graham is 1255619474. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Q: What is Roxann Nole-graham's specialty?

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

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment

1141 CLAY AVE, SCRANTON, PA 18510(570) 963-2079 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Roxann Nole-graham M.s. Ncc Lpc NPPES

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

MRS. ROXANN NOLE-GRAHAM M.S. NCC LPC (NPI 1255619474) is an individual professional provider in Scranton, Pennsylvania, licensed in Pennsylvania (PCOO5940) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255619474

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. ROXANN NOLE-GRAHAMCredential: M.S. NCC LPC

Location Address1141 CLAY AVEScranton, PA 18510-1191

Mailing Address902 Longview TerClarks Summit, PA 18411-8923 · (570) 586-9258

Phone(570) 963-2079

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 22, 2011

✔ NPI 1255619474 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 PA · PCOO5940

1141 CLAY AVE, Scranton, PA 18510

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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

Mrs. Roxann Nole-graham M.s. Ncc 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 ID5698254753

PECOS Enrollment IDI20260209003143

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 20

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

MRS. MARGARET C MARSHALL LCSW

Social Worker (Clinical)

1141 CLAY AVE, SUITE 1
DUNMORE, PA 18510

Lackawanna County (570) 341-9110

MS. AMY ELIZABETH LETWINSKY LSW

Social Worker