Individual provider Active NPI

Maria A Graciano, MS, LPC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1265785943
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
66153 Issued in TX
Practice address
3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone
(361) 852-9665
Fax
(361) 852-2794
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 66153 TX Primary

Addresses

Primary practice location

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201

Mailing address

3833 S Staples St
S-203
Corpus Christi, TX 78411-5201
Phone (361) 852-9665

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000550 TX Practitioner - Mental Health Counselor 9335598267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

3833 S Staples St
#203
Corpus Christi, TX 78411
Phone (361) 852-9665

3833 S Staples St
Ste S203
Corpus Christi, TX 78411
Phone (361) 852-9665

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1265785943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "S-203",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-852-9665",
            "fax_number": "361-852-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIANO",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.