Active NPI
Annella Grace Didier, L.P.C.
- Counselor
- Colleyville, TX
National Provider Identifier
1073892030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65671
- Practice address
- 6226 A Colleyville Blvd
Colleyville, TX 76034-6277 - Phone
- (817) 797-4948
- Fax
- (817) 545-1565
- NPI assigned
- Aug 9, 2011
- Last updated
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 65671 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 65671 | TX | |
| Professional Counselor | 101YP2500X | 65671 | TX | |
| Marriage & Family Therapist | 106H00000X | 65671 | TX |
Addresses
Primary practice location
6226 A Colleyville Blvd
Colleyville, TX 76034-6277
Mailing address
6226 A Colleyville Blvd.
Colleyville, TX 76034
Phone (817) 797-4948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65671 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1073892030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6226 A COLLEYVILLE BLVD.",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "76034",
"telephone_number": "817-797-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6226 A COLLEYVILLE BLVD",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346277",
"telephone_number": "817-797-4948",
"fax_number": "817-545-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDIER",
"first_name": "ANNELLA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65671",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65671",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65671",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "65671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.