Individual provider Active NPI

Melanie Gracia

  • Mental Health Counselor
  • Alice, TX
National Provider Identifier
1972295566
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87002 Issued in TX
Practice address
614 W Front St
Alice, TX 78332-7112
Phone
(361) 664-9587
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 87002 TX Primary

Addresses

Primary practice location

614 W Front St
Alice, TX 78332-7112

Mailing address

PO Box 1336
Portland, TX 78374-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240112001248 TX Practitioner - Mental Health Counselor 5395196406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

614 W Front St
Alice, TX 78332-7112
Phone (361) 664-9587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87002TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Coastal Plains Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Coastal Plains Community MHMR Center CurrentSince May 28, 2023 Accepting new patients
Coastal Plains Community MHMR Center PastSince May 28, 2023 Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients

Locations

614 W Front St
Alice, TX 78332
Phone (361) 664-9587

1010 S Commercial St
Aransas Pass, TX 78336
Phone (361) 226-3022

101 W Potts St
Falfurrias, TX 78355
Phone (361) 325-3673

1621 E Corral Ave
Kingsville, TX 78363
Phone (361) 592-6481

200 Marriott Dr
Portland, TX 78374
Phone (361) 777-3991

620 E Concho St
Rockport, TX 78382
Phone (361) 727-0988

409 E Gravis St
San Diego, TX 78384
Phone (361) 279-7296

201 Roots Ave
Taft, TX 78390
Phone (361) 364-7364

Organizations & group practices 5

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1972295566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W FRONT ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783327112",
            "telephone_number": "361-664-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.