Individual provider Active NPI

Sharaya Gallozzi, LMFT

  • Marriage & Family Therapist
  • Grand Prairie, TX
National Provider Identifier
1639737638
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203049 Issued in TX
Practice address
2045 W Grove LN
Grand Prairie, TX 75052-8859
Phone
(823) 339-6406
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203049 TX Primary

Addresses

Primary practice location

2045 W Grove LN
Grand Prairie, TX 75052-8859

Mailing address

2045 W Grove LN
Grand Prairie, TX 75052-8859
Phone (823) 339-6406

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
203049TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Jones Center for Children'S Therapy and Assessment 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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1639737638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GROVE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528859",
            "telephone_number": "823-339-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GROVE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528859",
            "telephone_number": "823-339-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOZZI",
        "first_name": "SHARAYA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203049",
            "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 Dec 12, 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.

Verify at the official NPI Registry.