Fanny Gradzikiewicz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20078 Issued in TX

Practice address

2529 W Trenton Rd
Edinburg, TX 78539-5070

Phone

(956) 994-3880

Fax

(956) 994-3877

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Pinkerman & Gonzalez Psychological

  • Clinical Psychologist
  • Edinburg, TX
  • NPI 1841388030
  NPD (past)
• RGV Senior Care, PC

  • Clinical Psychologist
  • Edinburg, TX
  • NPI 1124116322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1184785685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 EAGLE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045158",
            "telephone_number": "956-874-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-994-3880",
            "fax_number": "956-994-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADZIKIEWICZ",
        "first_name": "FANNY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181577101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thirumurugan Gopalasamy, RPH
• Denise Govea, SLP
• Gphht, LLC
• Danielle Gracia, APRN-CNP
• Yolanda Gracia, APN, WHNP
• Cassandra Lynn Graham
• Gonzalo Emman Grajo, LVN
• Cynthia Arlene Granado, MED, LPC
• David Gray, DMD
• Lydia Gray, LMSW

• Professional Counselor in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.