Individual provider Active NPI

Gabrielle Callens, M.S., SLP INTERN

  • Speech-Language Pathologist
  • Humble, TX
National Provider Identifier
1003555418
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119529 Issued in TX
Practice address
19411 McKay Dr Ste 300
Humble, TX 77338-5713
Phone
(281) 446-2680
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 119529 TX Primary

Addresses

Primary practice location

19411 McKay Dr Ste 300
Humble, TX 77338-5713

Mailing address

5318 Walnut Hills Dr
Kingwood, TX 77345-2433
Phone (713) 504-7566

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

LicenseStateTypeSpecialty
119529TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Speech & Language Center, LP PastSince Jun 5, 2022 Accepting new patients
Cole Health Speech-Language Pathologist PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 2

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1003555418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 WALNUT HILLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452433",
            "telephone_number": "713-504-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 MCKAY DR STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385713",
            "telephone_number": "281-446-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENS",
        "first_name": "GABRIELLE",
        "credential": "M.S., SLP INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.