JEFFREY GRAHAM MA, LCPC
NPI 1376159657
Counselor - Mental Health in Bloomington, IL
About Jeffrey Graham Ma, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY GRAHAM MA, LCPC (NPI 1376159657) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180013821) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey Graham Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 8 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Graham's NPI number?
The NPI number for Jeffrey Graham is 1376159657. It was assigned to this individual provider in the NPPES registry on September 22, 2020.
Where is Jeffrey Graham located?
Jeffrey Graham practices at 200 W Monroe St Ste 303C, Bloomington, IL 61701. The listed phone number is (309) 340-4410.
What is Jeffrey Graham's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeffrey Graham enrolled in Medicare?
Yes. Jeffrey Graham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffrey Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Graham reassigns Medicare benefits to Elliott Counseling Services, LLC (Normal, IL). 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 Jeffrey Graham'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 Jeffrey Graham was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jeffrey Graham, MA, LCPC · NPI 1376159657
Mental Health provider in Bloomington, Illinois. Individual provider, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1376159657 (Entity type: Individual)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180013821 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W MONROE ST STE 303C, Bloomington, IL 61701-3997
- **Phone:** (309) 340-4410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Elliott Counseling Services, LLC (NPI 1396067559, Normal, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376159657) · Data from the CMS NPPES public registry.