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EBONY GRAHAM MA
NPI 1750844635
Counselor - Professional in Essex, CT

Active since April 09, 2019PECOS Enrolled
190 WESTBROOK RD, ESSEX, CT 06426(860) 767-0147(860) 767-0148 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ebony Graham Ma NPPES

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

EBONY GRAHAM MA (NPI 1750844635) is an individual professional provider in Essex, Connecticut and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750844635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY GRAHAMCredential: MA
Location Address190 WESTBROOK RDEssex, CT 06426-1518
Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 442-5909
Phone(860) 767-0147
Fax(860) 767-0148
Sole ProprietorYes
Enumeration DateApril 9, 2019
✔ NPI 1750844635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
190 WESTBROOK RD, Essex, CT 06426
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Graham Ma 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ebony Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clifford W. Beers Guidance Clinic Inc
26 mi
Adolescent and Children Mental Health
93 EDWARDS ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 36 clinicians in this Medicare group
NPI 1073526968 (203) 772-1270
Grow Healthcare Group PA
1,161 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

MS. KARYN ANNE LEIPOLD MSW LCSW CADC
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
DIANA BONACCI MSW
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
VINCENZO MARAFITO BA
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
HANNA JACQUELYN MOORE BS
Counselor (Mental Health)
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
ALYSSA ACKERSON LMSW
Social Worker (Clinical)
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
MS. FAITH B FULLER LPC
Counselor (Mental Health)
190 WESTBROOK RD, CHILD & FAMILY AGENCY
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
PORTIA PENDLETON LMSW
Social Worker (Clinical)
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
SHELBY MEHMET BSW
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 701-3776

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 Ebony Graham's NPI number?

The NPI number for Ebony Graham is 1750844635. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Ebony Graham located?

Ebony Graham practices at 190 Westbrook Rd, Essex, CT 06426. The listed phone number is (860) 767-0147.

What is Ebony Graham's specialty?

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

Is Ebony Graham enrolled in Medicare?

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

Which organizations bill Medicare for Ebony Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Graham reassigns Medicare benefits to 2 organizations: Clifford W. Beers Guidance Clinic Inc (New Haven, CT) and Grow Healthcare Group PA (Miami, FL). Each 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 Ebony 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 Ebony Graham was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.