Individual provider Active NPI

Gracie Landes, LMFT

  • Marriage & Family Therapist
  • Brooklyn, NY
National Provider Identifier
1689784571
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000007 Issued in NY
Practice address
26 Court St #406
Brooklyn, NY 11242
Phone
(929) 484-0700
Fax
(929) 484-0600
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 000007 NY Primary

Addresses

Primary practice location

26 Court St #406
Brooklyn, NY 11242

Mailing address

26 Court St #406
Brooklyn, NY 11242
Phone (929) 484-0700

Other names 1

  • Gracie Artemis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2024 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000007NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1689784571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST #406",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11242",
            "telephone_number": "929-484-0700",
            "fax_number": "929-484-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST #406",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11242",
            "telephone_number": "929-484-0700",
            "fax_number": "929-484-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "GRACIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIE",
            "last_name": "ARTEMIS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.