CRYSTAL SHAMAR GRAHAM LCAS NPI 1952879827

NPI Information

  • NPI: 1952879827
  • Provider Name: CRYSTAL SHAMAR GRAHAM, LCAS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8025 N POINT BLVD STE 283
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (336) 842-3396

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NPI Details

Crystal Shamar Graham, LCAS is an addiction (substance use disorder) counselor in Winston Salem, NC. Crystal Shamar Graham, LCAS NPI is 1952879827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8025 N POINT BLVD STE 283
WINSTON SALEM, NC
ZIP 27106-860
Phone: (336) 842-3396
Fax: (336) 245-1804

The NPI 1952879827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11235876988MEDICAIDNORTH CAROLINA
21952879827MEDICAIDNORTH CAROLINA
325548833MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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