Individual provider Active NPI

Graciela Leon

  • Professional Counselor
  • Bryan, TX
National Provider Identifier
1881720878
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11735 Issued in TX
Practice address
207 Sulphur Springs Rd
Bryan, TX 77801-3134
Phone
(979) 260-3910
NPI assigned
Feb 26, 2007
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 11735 TX Primary
Marriage & Family Therapist 106H00000X 4077 TX

Addresses

Primary practice location

207 Sulphur Springs Rd
Bryan, TX 77801-3134

Mailing address

207 Sulphur Springs Rd
Bryan, TX 77801-3134
Phone (979) 260-3910

Other practice location 1

111 University Dr E Ste 218
College Station, TX 77840-1700
Phone (979) 260-3910

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
11735TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1881720878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SULPHUR SPRINGS RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013134",
            "telephone_number": "979-260-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SULPHUR SPRINGS RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013134",
            "telephone_number": "979-260-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 University Dr E Ste 218",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778401700",
            "country_code": "US",
            "telephone_number": "979-260-3910",
            "fax_number": "979-260-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "GRACIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11735",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.