Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558087296 Individual Practitioner Female Practitioner

Eda Graham

Counselor - School • Ravena, NY

Professional Overview & Biography Verified Profile Summary

Eda Graham is a registered healthcare professional specializing in Counselor - School in Ravena, NY. Practice services are available at 2025 ROUTE 9W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2025 Route 9w

Ravena, NY 12143

Telephone 5189358258

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Ravena, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ravena, NY (357 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-07
Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License NY 117708

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117708 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jessica Doerr , LCSW

Local Education Agency (LEA)

NPI 1922351899

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2022

Registered at 2025 ROUTE 9W, RAVENA, NY 12143 (Tel: 5189358258)

📍
Updated Business Mailing Address October 14, 2022

Registered at 21 PARK LN S APT 2, MENANDS, NY 122041940 (Tel: 5189358258)

👤
Provider Name / Credentials Updated October 14, 2022

Recorded as EDA GRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2022

Counselor (License #117708 in NY)

🟢
Initial NPI Registration & Enumeration October 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Eda Graham. Be the first to share your experience!

Sign in to leave a review for Eda Graham

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558087296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2022
Last Update: October 14, 2022
Sole Proprietor: No

Mailing Address

21 Park Ln S Apt 2

Menands, NY 122041940

Phone: 5189358258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.