Active NPI
Jason Bonisolli
- Counselor
- Grapevine, TX
National Provider Identifier
1104730050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 377 Banyan Dr
Grapevine, TX 76051-8211 - Phone
- (817) 690-1319
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | TX | Primary |
Addresses
Primary practice location
377 Banyan Dr
Grapevine, TX 76051-8211
Mailing address
377 Banyan Dr
Grapevine, TX 76051-8211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1104730050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 BANYAN DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 BANYAN DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518211",
"telephone_number": "817-690-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONISOLLI",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.