Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Ayandibu, MD, MS, LPC

Individual provider Mental Health Counselor · NPI 1023395928

Grace Ayandibu, MD, MS, LPC is a Dermatology in Wichita Falls, Texas. Qualified in 2018, 8 years ago. Practices with All Skin Dermatology, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
8
Licensed in
IL, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2637 Plaza Pkwy
Wichita Falls, TX 76308-3889
Phone: (940) 239-9160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2637 Plaza Pkwy, Wichita Falls, TX 76308-3889 — (940) 666-3060

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence T9346 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 178007242 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023395928
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MS , LPC
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice All Skin Dermatology, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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