Individual provider Active NPI

Graciela Maria Valenzuela Moncibaiz, MA, LPC-S

  • Mental Health Counselor
  • North Richland Hills, TX
National Provider Identifier
1639277064
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16499 Issued in TX
Practice address
8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610
Phone
(817) 765-5664
Fax
(817) 918-7307
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 16499 TX
Mental Health Counselor 101YM0800X 16499 TX Primary

Addresses

Primary practice location

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610

Mailing address

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610
Phone (817) 765-5664

Other practice location 1

4841 Merlot Ave Unit 420
Grapevine, TX 76051-7382
Phone (817) 809-8399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711000754 TX Practitioner - Mental Health Counselor 7517402829 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16499TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Mid-Cities PLLC Mental Health CurrentSince Sep 24, 2023 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Ironwood Therapeutic Wellness, PLLC Mental Health CurrentSince Dec 28, 2025 Accepting new patients
Emh Mid-Cities PLLC Mental Health CurrentSince Sep 23, 2022 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (512) 812-8519

4841 Merlot Ave
Unit 420
Grapevine, TX 76051
Phone (817) 392-9122

203 FM 156 N
Haslet, TX 76052
Phone (214) 699-8026

8408 Davis Blvd
Ste 240
North Richland Hills, TX 76182
Phone (817) 765-5664

9001 Airport Fwy
Ste G125
North Richland Hills, TX 76180

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1639277064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828610",
            "telephone_number": "817-765-5664",
            "fax_number": "817-918-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828610",
            "telephone_number": "817-765-5664",
            "fax_number": "817-918-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4841 Merlot Ave Unit 420",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517382",
            "country_code": "US",
            "telephone_number": "817-809-8399",
            "fax_number": "817-918-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA MONCIBAIZ",
        "first_name": "GRACIELA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-06-28",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16499",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.