MS. CANDACE GRAHAM (LPC) – Mental Health Counselor, NPI 1053289678

MS. CANDACE GRAHAM (LPC) is a healthcare provider. based in Fort worth, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 87713 (TX). The NPI Number for MS. CANDACE GRAHAM (LPC) is 1053289678

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. CANDACE GRAHAM (LPC)
NPI
1053289678
Phone
(205) 413-9914
Address
939 SCENIC HILL DR APT 638
Enumeration Date
27 October 2025
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177655664
Graduation Year
2021 (5 years ago)
PAC ID
6800382342
Group Practice PAC ID
3072058387
Professional Enrollment ID
I20260105001206
Address ID
TX761828610NO8408XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for MS. CANDACE GRAHAM (LPC)

  • 939 SCENIC HILL DR APT 638

    FORT WORTH, TX 761111292

    Phone: (205) 413-9914

    Type: Mailing

  • 4841 MERLOT AVE UNIT 420

    GRAPEVINE, TX 760517382

    Phone: (817) 392-9122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260105001206IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072058387View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Marriage And Family TherapistTX
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

Is MS. CANDACE GRAHAM (LPC) listed with a National Provider Identifier?
Yes — MS. CANDACE GRAHAM (LPC) has NPI 1053289678 on file in the registry.
Is MS. CANDACE GRAHAM (LPC) shown as active in public data?
Registry records indicate MS. CANDACE GRAHAM (LPC) maintains an active NPI.
What expertise is attributed to MS. CANDACE GRAHAM (LPC)?
MS. CANDACE GRAHAM (LPC)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MS. CANDACE GRAHAM (LPC) associated with Fort Worth?
Public fields place MS. CANDACE GRAHAM (LPC) around Fort Worth, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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