Active NPI
Deborah Graham
- Professional Counselor
- Boerne, TX
National Provider Identifier
1265679799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13113
- Practice address
- 2 Blue Heron Blvd
Boerne, TX 78006-9430 - Phone
- (830) 537-5044
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13113 | TX | Primary |
Addresses
Primary practice location
2 Blue Heron Blvd
Boerne, TX 78006-9430
Mailing address
2 Blue Heron Blvd
Boerne, TX 78006-9430
Phone (830) 537-5044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13113 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1265679799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BLUE HERON BLVD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780069430",
"telephone_number": "830-537-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BLUE HERON BLVD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780069430",
"telephone_number": "830-537-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.