Active NPI
Angela Graham
- Counselor
- Joshua, TX
National Provider Identifier
1497031801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16321
- Practice address
- 3021 Running Brook Dr
Joshua, TX 76058-5757 - Phone
- (817) 480-4951
- NPI assigned
- Oct 30, 2011
- Last updated
- Oct 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16321 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8746 | TX |
Addresses
Primary practice location
3021 Running Brook Dr
Joshua, TX 76058-5757
Mailing address
3021 Running Brook Dr
Joshua, TX 76058-5757
Phone (817) 480-4951
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 |
|---|---|---|---|
| 8746 | TX | MD | Professional Counselor |
| 16321 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319932800000",
"number": "1497031801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 RUNNING BROOK DR",
"city": "JOSHUA",
"state": "TX",
"postal_code": "760585757",
"telephone_number": "817-480-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 RUNNING BROOK DR",
"city": "JOSHUA",
"state": "TX",
"postal_code": "760585757",
"telephone_number": "817-480-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-30",
"last_updated": "2011-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "16321",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "8746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joshua, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.