Active NPI
Torri Reann Mikolas
- Speech-Language Pathologist
- Port Lavaca, TX
National Provider Identifier
1003708686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 123738
- Practice address
- 1512 Jackson St
Port Lavaca, TX 77979-4601 - Phone
- (361) 552-3317
- NPI assigned
- Jul 17, 2025
- 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 | 123738 | TX | Primary |
Addresses
Primary practice location
1512 Jackson St
Port Lavaca, TX 77979-4601
Mailing address
PO Box 772
Seadrift, TX 77983-0772
Phone (361) 649-1109
Other practice location 1
605 N Commerce St
Port Lavaca, TX 77979-3036
Phone (361) 552-5253
Other practice location 2
525 N Commerce St
Port Lavaca, TX 77979-3034
Phone (361) 552-9728
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123738 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1003708686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772",
"city": "SEADRIFT",
"state": "TX",
"postal_code": "779830772",
"telephone_number": "361-649-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 JACKSON ST",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779794601",
"telephone_number": "361-552-3317"
}
],
"practiceLocations": [
{
"address_1": "605 N Commerce St",
"address_purpose": "LOCATION",
"city": "Port Lavaca",
"state": "TX",
"postal_code": "779793036",
"country_code": "US",
"telephone_number": "361-552-5253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 N Commerce St",
"address_purpose": "LOCATION",
"city": "Port Lavaca",
"state": "TX",
"postal_code": "779793034",
"country_code": "US",
"telephone_number": "361-552-9728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKOLAS",
"first_name": "TORRI",
"middle_name": "REANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "123738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Lavaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.