KEITH EDWARD GRAHAM (NPI# 1902438161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902438161 |
| Entity Type | Individual |
| Full Name | KEITH EDWARD GRAHAM |
| Credential | CERTIFIED PEER RECOV |
| Practice Address |
37450 Schoolcraft Rd Ste 110 Livonia MI 48150-1000 |
| Practice Telephone | 7344584601 |
| Practice Fax Number | 7347935380 |
| Mailing Telephone | 7344584601 |
| Mailing Fax Number | 7347935380 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735907 | Keith Allen Graham | Specialist/Technologist | 8 Medical Park Drive, Suite 100, Malta, NY 12020 | 2018-10-01 |
| 1639651805 | Keith Stephen Graham | Pharmacist | 400 Highland Ave, Geisinger Lewistown Hospital Pharmacy, Lewistown, PA 17044 | 2018-09-04 |
| Street Address |
37450 SCHOOLCRAFT RD STE 110 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902240757 | Andrea Denise Motley | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2013-04-23 |
| 1063025740 | Tyler Moreno | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-08-24 |
| 1154932440 | Toriann Lawrence | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-08-11 |
| 1164056867 | Tamia Tonie Peterson | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-03-03 |
| 1619500162 | Tishanna Maya Taylor | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-02-12 |
| 1932739109 | Erinn Vittum | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-01-16 |
| 1255978615 | Kate Althea Weinreich | Student in an Organized Health Care Education/Training Program | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-12-04 |
| 1053957530 | Megam Kardos | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-11-20 |
| 1659922714 | Monica Grace Denny | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-09-20 |
| 1740834902 | Larry Lamont Lockett | Licensed Practical Nurse | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
| 1487298899 | Eugene Allan Dennis | Peer Specialist | 37450 Schoolcraft Rd # 101, Livonia, MI 48150-1082 | 2019-10-30 |
| 1609247162 | Donna M Risi | Peer Specialist | 14384 Sunset St, Livonia, MI 48154-4364 | 2015-10-09 |
| 1053957530 | Megam Kardos | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-11-20 |
| 1659922714 | Monica Grace Denny | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-09-20 |
| 1174180871 | Emily Wray | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-05-29 |
| 1407338791 | Gina Terasa Badami | Peer Specialist | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2018-09-04 |
| 1861984288 | Brooke Ashleigh Newman | Peer Specialist | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2018-06-01 |
| 1194224816 | Christine Marie Jewell | Peer Specialist | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2018-02-08 |
| 1124527098 | Michael Harper Maloney | Peer Specialist | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2018-02-06 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.