Active NPI
Jency Mignon McClain, MS CCC SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1003105545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19180
- Practice address
- 5757 Woodway Dr
Suite 125
Houston, TX 77057-1514 - Phone
- (713) 787-5015
- Fax
- (713) 787-5032
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19180 | TX | Primary |
Addresses
Primary practice location
5757 Woodway Dr
Suite 125
Houston, TX 77057-1514
Mailing address
5757 Woodway Dr
Suite 125
Houston, TX 77057-1514
Phone (713) 787-5015
Other names 1
- Mignon D'Armond McClain
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19180 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech and Language Connection | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Katy, TX
- NPI 1013215300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1003105545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 WOODWAY DR",
"address_2": "SUITE 125",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571514",
"telephone_number": "713-787-5015",
"fax_number": "713-787-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WOODWAY DR",
"address_2": "SUITE 125",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571514",
"telephone_number": "713-787-5015",
"fax_number": "713-787-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "JENCY",
"middle_name": "MIGNON",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIGNON",
"last_name": "MCCLAIN",
"middle_name": "D'ARMOND",
"credential": "MS CCC SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.