Individual provider Active NPI

William Archie Grammer, LPC/LMFT/CST

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1578814463
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9136 Issued in TX
Practice address
12820 Hillcrest Rd
Suite C-203
Dallas, TX 75230-1526
Phone
(214) 766-8886
NPI assigned
Oct 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9136 TX Primary
Marriage & Family Therapist 106H00000X 2542 TX

Addresses

Primary practice location

12820 Hillcrest Rd
Suite C-203
Dallas, TX 75230-1526

Mailing address

12820 Hillcrest Rd
Suite C-203
Dallas, TX 75230-1526
Phone (214) 766-8886

Other names 1

  • Mr. Billy Grammer Professional name

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

LicenseStateTypeSpecialty
2542TXMDAddiction (Substance Use Disorder) Counselor
9136TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1578814463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE C-203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-766-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE C-203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-766-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMER",
        "first_name": "WILLIAM",
        "middle_name": "ARCHIE",
        "name_prefix": "Mr.",
        "credential": "LPC/LMFT/CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9136",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "GRAMMER",
            "prefix": "MR.",
            "credential": "LPC/LMFT/CST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 14, 2016; 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.