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MRS. LETICIA T GRAHAM MSH, MPH, MSPC, LAPC
NPI 1316608037
Counselor - Mental Health in Saint Marys, GA

Active since January 05, 2022PECOS Enrolled
88 LINDSEY LN STE C, SAINT MARYS, GA 31558(912) 322-5791(912) 341-6794 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2026, Jan 23, 2026, Jan 5, 2022 (3 updates tracked since 2022).

About Mrs. Leticia T Graham Msh, Mph, Mspc, Lapc NPPES

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

MRS. LETICIA T GRAHAM MSH, MPH, MSPC, LAPC (NPI 1316608037) is an individual mental health provider in Saint Marys, Georgia, licensed in Georgia (LPC0415482) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Marys.

NPPES Registry Identity

NPI1316608037
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LETICIA T GRAHAMCredential: MSH, MPH, MSPC, LAPC
Location Address88 LINDSEY LN STE CSaint Marys, GA 31558-1725
Mailing Address88 Lindsey Ln Ste CSaint Marys, GA 31558-1725 · (912) 322-5791 · Fax (912) 341-6794
Phone(912) 322-5791
Fax(912) 341-6794
Sole ProprietorYes
Enumeration DateJanuary 5, 2022
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1316608037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC0415482
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC0415482 (GA)
88 LINDSEY LN STE C, Saint Marys, GA 31558
Open in Google Maps ↗

Secondary Practice Location 1

Location 1205 Lakeshore PtSaint Marys, GA 31558-3843 · Phone (912) 225-1120

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Leticia T Graham Msh, Mph, Mspc, Lapc 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 Reassignments

2

Medicare enrollment records show Leticia Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camden Behavioral Wellness, Inc
Same address
Mental Health
88 LINDSEY LN STE C
Saint Marys, GA 31558
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1174038095 (912) 825-8488
Grow Healthcare Group PA
356 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

ADRIENNE MAUGHON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 322-5791
BRYCE MAUGHON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 322-5791
CAMDEN BEHAVIORAL WELLNESS, INC
Counselor (Mental Health)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 825-8488
CHARESE TAYLOR LMFT
Marriage & Family Therapist
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 552-7435
WILLIAM DALE BLANTON LPC
Counselor (Mental Health)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 825-8488
KELLY SCOTT VANCONANT II
Behavior Technician
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (810) 259-1401
ELISSA MICHELLE GONZALEZ-OGONOWSKI
Counselor (Mental Health)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 825-8488
MRS. WHITNEY BURKHALTER BOUNDS MSW
Social Worker (Clinical)
88 LINDSEY LN STE C
SAINT MARYS, GA 31558
Camden County (912) 825-8488

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 Leticia Graham's NPI number?

The NPI number for Leticia Graham is 1316608037. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Leticia Graham located?

Leticia Graham practices at 88 Lindsey Ln Ste C, Saint Marys, GA 31558. The listed phone number is (912) 322-5791.

What is Leticia Graham's specialty?

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

Is Leticia Graham enrolled in Medicare?

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

Which organizations bill Medicare for Leticia Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Graham reassigns Medicare benefits to 2 organizations: Camden Behavioral Wellness, Inc (Saint Marys, GA) and Grow Healthcare Group PA (Miami, FL). Each 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 Leticia Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leticia Graham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Leticia 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 Leticia Graham was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.