IndividualActive
Shontae Graham, CC, MSP
NPI 1780177428 · Counselor · Los Angeles, CA
Provider details
- NPI number
- 1780177428
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- CC, MSP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4261 San Pedro Pl
Los Angeles, CA 90011-2917
Phone: (310) 770-6749
Street-level locationGet directions
Mailing address
4261 San Pedro Pl # 409
Los Angeles, CA 90011-2917
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.