Individual provider Active NPI

Roseanne Elyse Bodin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Bellaire, TX
National Provider Identifier
1003383530
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106752 Issued in TX
Practice address
4620 Bellaire Blvd
Bellaire, TX 77401-4231
Phone
(713) 665-3888
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106752 TX Primary

Addresses

Primary practice location

4620 Bellaire Blvd
Bellaire, TX 77401-4231

Mailing address

2517 Ella Lee LN
Houston, TX 77019-6312
Phone (713) 302-1911

Other practice location 1

2127 Preston St
Richmond, TX 77469-1418
Phone (281) 342-2801

Other identifiers 1

IdentifierTypeStateIssuer
106752OtherTXSPEECH PATHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723002769 TX Practitioner - Qualified Speech Language Pathologist 8123421435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zfron LLCGroup PAC ID 9133505746, 14 clinicians

Practice addresses (Care Compare)

Richmond, TX 77407
Phone (832) 947-4110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 20, 2021 Accepting new patients
Zfron LLC CurrentSince Apr 28, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 20, 2021 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Speech-Language Pathologist Past Accepting new patients

Locations

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1003383530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ELLA LEE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770196312",
            "telephone_number": "713-302-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014231",
            "telephone_number": "713-665-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 Preston St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774691418",
            "country_code": "US",
            "telephone_number": "281-342-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODIN",
        "first_name": "ROSEANNE",
        "middle_name": "ELYSE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "106752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.