MRS. TIFFANY MICHELLE GRAHAM MA, LCMHC-A, LCAS-A
NPI 1548746605
Counselor in Charlotte, NC

Q: What is Tiffany Graham's NPI number?

The NPI number for Tiffany Graham is 1548746605. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Q: What is Tiffany Graham's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Graham was last updated on August 12, 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.

Active since July 12, 2018PECOS Enrolled

3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273(980) 302-8850(704) 316-8118 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2022, Jul 30, 2021, Oct 22, 2020 and 2 more (5 updates tracked since 2018).

On this page

About Mrs. Tiffany Michelle Graham Ma, Lcmhc-a, Lcas-a NPPES

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

MRS. TIFFANY MICHELLE GRAHAM MA, LCMHC-A, LCAS-A (NPI 1548746605) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (16081) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548746605

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. TIFFANY MICHELLE GRAHAMCredential: MA, LCMHC-A, LCAS-A

Location Address3545 WHITEHALL PARK DR STE 300Charlotte, NC 28273-4179

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 302-8850

Fax(704) 316-8118

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 12, 2018

Last NPPES UpdateAugust 12, 20225 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1548746605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NC · 16081

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-21224 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A16081 (NC)

3545 WHITEHALL PARK DR STE 300, Charlotte, NC 28273

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Secondary Practice Location 1

Location 11914 J N Pease Pl Ste 144Charlotte, NC 28262-4504 · Phone (919) 478-0248 · Fax (704) 559-3447

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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. Tiffany Michelle Graham Ma, Lcmhc-a, Lcas-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436636438

PECOS Enrollment IDI20260121003325

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 Reassignment

Medicare enrollment records show Tiffany Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creative Opportunities For Personal Empowerment, LLC

26 mi

Community/Behavioral Health

455 CONCORD PKWY N UNIT 5649
Concord, NC 28027

Reassigned Medicare billing, North Carolina enrollment

NPI 1558177659 (704) 247-7111

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 20

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

MR. ROBERT MICHAEL COX LCMHC

Counselor