Active NPI
Garry Drew Coronell, LPC
- Professional Counselor
- Richardson, TX
National Provider Identifier
1699585075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 96576
- Practice address
- 1251 S Sherman St Ste 102
Richardson, TX 75081-6509 - Phone
- (214) 506-8367
- NPI assigned
- Jan 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 96576 | TX | |
| Professional Counselor | 101YP2500X | 96576 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 96576 | TX |
Addresses
Primary practice location
1251 S Sherman St Ste 102
Richardson, TX 75081-6509
Mailing address
1251 S Sherman St Ste 102
Richardson, TX 75081-6509
Phone (214) 506-8367
Other practice location 1
650 Beebalm Ln Ste 240
Garland, TX 75040-3008
Phone (214) 501-3148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96576 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mud Hook Mental Health PLLC | Mental Health | Current | Accepting new patients |
Locations
2300 W FM 544
Ste 245
Wylie, TX 75098
Phone (214) 307-9546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Garland, TX
- NPI 1225739196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1699585075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 S SHERMAN ST STE 102",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816509",
"telephone_number": "214-506-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S SHERMAN ST STE 102",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816509",
"telephone_number": "214-506-8367"
}
],
"practiceLocations": [
{
"address_1": "650 Beebalm Ln Ste 240",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750403008",
"country_code": "US",
"telephone_number": "214-501-3148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORONELL",
"first_name": "GARRY",
"middle_name": "DREW",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "96576",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "96576",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "96576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.