Individual provider · Type 1 NPI

Jason Bonisolli

Counselor · Grapevine, TX

NPI number 1104730050 Active

Practice location

377 Banyan Dr
Grapevine, TX 76051-8211

Call (817) 690-1319 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104730050

Jason Bonisolli's National Provider Identifier is 1104730050, issued on Sep 29, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grapevine, TX. The record was last updated on Sep 29, 2026.