Active NPI
Ted Graeser, L.P.C.
- Counselor
- Garland, TX
National Provider Identifier
1508919176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12521
- Practice address
- 3960 Broadway Blvd
Suite 120
Garland, TX 75043-2593 - Phone
- (214) 703-3317
- Fax
- (214) 703-3948
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12521 | TX | Primary |
Addresses
Primary practice location
3960 Broadway Blvd
Suite 120
Garland, TX 75043-2593
Mailing address
3960 Broadway Blvd
Suite 120
Garland, TX 75043-2593
Phone (214) 703-3317
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 |
|---|---|---|---|
| 12521 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Stress Management | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Garland, TX
- NPI 1770991275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508919176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 BROADWAY BLVD",
"address_2": "SUITE 120",
"city": "GARLAND",
"state": "TX",
"postal_code": "750432593",
"telephone_number": "214-703-3317",
"fax_number": "214-703-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 BROADWAY BLVD",
"address_2": "SUITE 120",
"city": "GARLAND",
"state": "TX",
"postal_code": "750432593",
"telephone_number": "214-703-3317",
"fax_number": "214-703-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAESER",
"first_name": "TED",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "12521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.