1. Home
  2. Directory
  3. Illinois
  4. Normal
  5. Counselor
  6. NPI Profile

JEFFREY GRAHAM MA, LCPC
NPI 1376159657
Counselor - Professional in Normal, IL

Active since September 22, 2020PECOS Enrolled
706 OGLESBY AVE STE 300, NORMAL, IL 61761(309) 212-3606 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 4, 2022, Sep 22, 2020 (2 updates tracked since 2020).

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 professional provider in Normal, Illinois, licensed in Illinois (180013821) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376159657
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY GRAHAMCredential: MA, LCPC
Location Address706 OGLESBY AVE STE 300Normal, IL 61761-4616
Mailing Address706 Oglesby Ave Ste 300Normal, IL 61761-4616 · (309) 212-3606
Phone(309) 212-3606
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1376159657 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 IL · 180013821
706 OGLESBY AVE STE 300, Normal, IL 61761
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Graham Ma, Lcpc 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.

Other Providers at the Same Location NPPES 8

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

MRS. LORI ANN HENEHAN LPC
Counselor (Professional)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606
MRS. LAURA J BOOKS ME
Counselor (Professional)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606
TRACI WHITE LCPC
Counselor (Professional)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606
ELLIOTT COUNSELING SERVICES, LLC
Community/Behavioral Health
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606
DAWN MARIE TYLER NCC, LCPC, CCBT
Counselor (Professional)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 306-1283
MISS BAILEY A BIRDITT MSW
Social Worker
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 299-5454
GLORIA L SUGG
Social Worker (Clinical)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606
MS. PAMELA JO ELLIOTT LCPC NCC
Counselor (Professional)
706 OGLESBY AVE STE 300
NORMAL, IL 61761
McLean County (309) 212-3606

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 706 Oglesby Ave Ste 300, Normal, IL 61761. The listed phone number is (309) 212-3606.

What is Jeffrey Graham's specialty?

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

Is Jeffrey Graham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Graham was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.