Individual provider Active NPI

Gracia Hoang DO, M.S., LPCC

  • Professional Counselor
  • Rochester, MN
National Provider Identifier
1922586171
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01467 Issued in MN
Practice address
1926 College View Rd E
Rochester, MN 55904-8201
Phone
(507) 206-5757
Fax
(507) 529-0270
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01467 MN Primary

Addresses

Primary practice location

1926 College View Rd E
Rochester, MN 55904-8201

Mailing address

1926 College View Rd E
Rochester, MN 55904-8201
Phone (507) 206-5757

Other identifiers 1

IdentifierTypeStateIssuer
CC01467OtherMNSTATE OF MN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240709001002 MN Practitioner - Mental Health Counselor 6002351681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Service IncGroup PAC ID 4486930195, 7 clinicians

Practice addresses (Care Compare)

2310 4TH Ave N
Moorhead, MN 56560-2473

2720 Broadway Ave N
Rochester, MN 55906-3980
Phone (507) 529-0503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC01467MNMDProfessional Counselor
1467MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Service Inc. CurrentSince May 6, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Community Health Service Inc. CurrentSince May 6, 2024 Accepting new patients
Community Health Service Inc. Past Accepting new patients

Locations

2310 4th Ave N
Moorhead, MN 56560
Phone (218) 236-6502

1926 College View Rd E
Rochester, MN 55904
Phone (507) 529-0503

2720 N Broadway
Rochester, MN 55906
Phone (507) 285-1815

1804 Trott Ave SW
Willmar, MN 56201
Phone (320) 214-7286

Interoperability endpoints

  • Direct secure messaging: graciado@tdh.allscriptsdirect.net

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1922586171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 COLLEGE VIEW RD E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559048201",
            "telephone_number": "507-206-5757",
            "fax_number": "507-529-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 COLLEGE VIEW RD E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559048201",
            "telephone_number": "507-206-5757",
            "fax_number": "507-529-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "GRACIA",
        "middle_name": "HOANG",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN",
            "identifier": "CC01467",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.