Active NPI
Elliott Ghaly
- Professional Counselor
- Denton, TX
National Provider Identifier
1225845209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87081
- Practice address
- 1013 Greenlee St
Denton, TX 76201-7020 - Phone
- (940) 382-5112
- NPI assigned
- Dec 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87081 | TX | Primary |
Addresses
Primary practice location
1013 Greenlee St
Denton, TX 76201-7020
Mailing address
2525 Freedom LN
Denton, TX 76209-1523
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4119 Montrose Blvd
Suite 230
Houston, TX 77006-4964
Phone (281) 990-1506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87081 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients | |
| Geode Health of Texas, PLLC | Current | Accepting new patients |
Locations
1211 W 22nd St
Ste 406
Oak Brook, IL 60523
4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506
Interoperability endpoints
- elliott.ghaly.1@25899.direct.athenahealth.com
Organizations & group practices 2
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.
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- Allen, TX
- NPI 1851037162
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- Psychiatry Physician
- Allen, TX
- NPI 1790482834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1225845209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 FREEDOM LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762091523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 GREENLEE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762017020",
"telephone_number": "940-382-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALY",
"first_name": "ELLIOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- 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.