Active NPI
Growth and Grace Therapy PLLC
- Mental Health Counselor
- Grand Prairie, TX
National Provider Identifier
1609633148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GROWTH AND GRACE THERAPY PLLC
- Practice address
- 2947 Mere LN
Grand Prairie, TX 75054-0190 - Phone
- (469) 431-4831
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Johnson, LPC
- Title
- Therapist
- Phone
- (469) 431-4831
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2947 Mere LN
Grand Prairie, TX 75054-0190
Mailing address
2947 Mere LN
Grand Prairie, TX 75054-0190
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1609633148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2947 MERE LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2947 MERE LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540190",
"telephone_number": "469-431-4831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH AND GRACE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "469-431-4831",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.