Individual provider Active NPI

Jessica Deanene Head, MS CCC-SLP

  • Speech-Language Pathologist
  • Denton, TX
National Provider Identifier
1013669670
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117682 Issued in TX
Practice address
3401 E University Dr Ste 301
Denton, TX 76208-1044
Phone
(940) 384-9999
Fax
(214) 377-4244
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 117682 TX Primary

Addresses

Primary practice location

3401 E University Dr Ste 301
Denton, TX 76208-1044

Mailing address

PO Box 1001
Wylie, TX 75098-1001
Phone (214) 483-3170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001154 TX Practitioner - Qualified Speech Language Pathologist 5193119394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LP Physical Therapy LLCGroup PAC ID 9234477837, 7 clinicians

Practice addresses (Care Compare)

1324 Brown St
Suite 300
Waxahachie, TX 75165-1428
Phone (254) 694-5682

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LP Physical Therapy, LLC CurrentSince Jul 5, 2025 Accepting new patients
Sum LLC CurrentSince Apr 1, 2018 Accepting new patients
The ABA Spot LLC PastSince Dec 1, 2021 Accepting new patients
Nhci of Hillsboro Inc Past Accepting new patients
Nhci of Hillsboro Inc Past Accepting new patients

Locations

14683 Midway Rd
Ste 160
Addison, TX 75001
Phone (214) 483-3170

601 N Parkway Dr
Ste B
Alvarado, TX 76009
Phone (817) 402-5070

3401 E University Dr
Ste 301
Denton, TX 76208
Phone (214) 833-3170

1305 E Elm St
Hillsboro, TX 76645
Phone (254) 582-2713

1324 Brown St
Ste 300
Waxahachie, TX 75165
Phone (254) 694-5682

1216 N Brazos St
#100
Whitney, TX 76692

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1013669670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981001",
            "telephone_number": "214-483-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E UNIVERSITY DR STE 301",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081044",
            "telephone_number": "940-384-9999",
            "fax_number": "214-377-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "JESSICA",
        "middle_name": "DEANENE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.