MEDICARE: MS. NICOLE GRAVES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3421	KS

General Provider Information

NPI Number	:	1952243875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLE GRAVES LPC

Provider Business Mailing Address
First Line	:	2015 E 24TH TER
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-5062
Country	:	US
Telephone Number	:	316-841-5159
Fax Number	:	316-841-5159

Provider Business Practice Location Address
First Line	:	930 IOWA ST STE 4
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1869
Country	:	US
Telephone Number	:	785-289-9917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/22/2026

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