MR. JOHN ELLINGTON GRAHAM III MA, MSED
NPI 1699894766
Counselor - Professional in O Fallon, MO

Active since March 28, 2007
300 FORT ZUMWALT SQ, SUITE 107, O FALLON, MO 63366(636) 980-4673(636) 625-8284 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John Ellington Graham Iii Ma, Msed NPPES

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

MR. JOHN ELLINGTON GRAHAM III MA, MSED (NPI 1699894766) is an individual professional provider in O Fallon, Missouri, licensed in Missouri (001763) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1699894766
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHN ELLINGTON GRAHAM IIICredential: MA, MSED
Location Address300 FORT ZUMWALT SQ, SUITE 107O Fallon, MO 63366-3078
Mailing Address13 Pointer CtLake St Louis, MO 63367-2017 · (636) 485-2900 · Fax (636) 625-8284
Fax(636) 625-8284
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699894766 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 MO · 001763
300 FORT ZUMWALT SQ, O Fallon, MO 63366

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
300 FORT ZUMWALT SQ, SUITE 106
O FALLON, MO 63366
Counselor (Professional)
300 FORT ZUMWALT SQ, SUITE 106
O FALLON, MO 63366

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 John Graham's NPI number?

The NPI number for John Graham is 1699894766. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is John Graham located?

John Graham practices at 300 Fort Zumwalt Sq Suite 107, O Fallon, MO 63366. The listed phone number is (636) 980-4673.

What is John Graham's specialty?

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

When was this NPI record last updated?

The NPPES record for John Graham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.