Donna Beck Granato, M.S.

Individual provider Active NPI Professional Counselor · Lytle, TX

NPI 1154468296 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154468296
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
14243 (TX)
Practice address
3160 FM 3175
Lytle, TX 78052
Phone
(830) 709-0711
Fax
(830) 709-0409
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16486 FM
Suite 463
Lytle, TX 78052-4588
Phone (830) 709-0711

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240626000199 TX Practitioner - Mental Health Counselor 2668916198 Practice locations: Lytle, TX

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14243TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Country Breeze Counseling Center, LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14243 TX Yes

Addresses

Primary practice location

3160 FM 3175
Lytle, TX 78052

Mailing address

3160 FM 3175
Lytle, TX 78052
Phone (830) 709-0711

Other providers in Lytle, TX

All providers in Lytle, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.