Individual provider Active NPI

Graciela Maris Montani, L.P.C.; L.M.F.T.

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1477647907
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3445 Issued in TX
Practice address
1005 W Jefferson Blvd Ste 300
Dallas, TX 75208-5092
Phone
(214) 941-1650
Fax
(214) 941-8008
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X 3445 TX Primary

Addresses

Primary practice location

1005 W Jefferson Blvd Ste 300
Dallas, TX 75208-5092

Mailing address

1005 W. Jefferson Blvd.
Suite 205
Dallas, TX 75208-5091
Phone (214) 941-1650

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1477647907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W. JEFFERSON BLVD.",
            "address_2": "SUITE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085091",
            "telephone_number": "214-941-1650",
            "fax_number": "214-941-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W JEFFERSON BLVD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085092",
            "telephone_number": "214-941-1650",
            "fax_number": "214-941-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANI",
        "first_name": "GRACIELA",
        "middle_name": "MARIS",
        "name_prefix": "Ms.",
        "credential": "L.P.C.; L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.