KENNETH ALONZO GRAVES CSAC
NPI 1396561981
Counselor - Addiction (Substance Use Disorder) in Petersburg, VA

Q: What is Kenneth Graves's NPI number?

The NPI number for Kenneth Graves is 1396561981. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Q: What is Kenneth Graves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Graves was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 27, 2024

2908 NIVRAM RD, PETERSBURG, VA 23805(804) 590-8295 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Alonzo Graves Csac NPPES

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

KENNETH ALONZO GRAVES CSAC (NPI 1396561981) is an individual addiction (substance use disorder) provider in Petersburg, Virginia, licensed in Virginia (0710102565) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1396561981

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENNETH ALONZO GRAVESCredential: CSAC

Location Address2908 NIVRAM RDPetersburg, VA 23805-2637

Mailing Address2908 Nivram RdPetersburg, VA 23805-2637 · (804) 590-8295

Phone(804) 590-8295

Sole ProprietorNo

Enumeration DateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1396561981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in VA · 0710102565

2908 NIVRAM RD, Petersburg, VA 23805

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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 Kenneth Graves's NPI number?

The NPI number for Kenneth Graves is 1396561981. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Kenneth Graves located?

Kenneth Graves practices at 2908 Nivram Rd, Petersburg, VA 23805. The listed phone number is (804) 590-8295.

What is Kenneth Graves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Graves was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.