Individual provider Active NPI

Matthew Wayne Mooberry, MA SLP

  • Speech-Language Pathologist
  • Louisville, CO
National Provider Identifier
1023996741
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0001474 Issued in CO
Practice address
1371 Hecla Dr Ste D130
Louisville, CO 80027-2318
Phone
(303) 963-5582
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 PSLP.0001474 CO Primary

Addresses

Primary practice location

1371 Hecla Dr Ste D130
Louisville, CO 80027-2318

Mailing address

10656 Ring Ave
Rancho Cucamonga, CA 91737-4416
Phone (909) 731-7965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909001967 CO Practitioner - Qualified Speech Language Pathologist 8325540131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Colorado School of Medicine, Denver, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Therapy and Wellness LLCGroup PAC ID 9032521448, 29 clinicians

Practice addresses (Care Compare)

1371 Hecla Dr
Suite E
Louisville, CO 80027-2318
Phone (303) 963-5582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSLP.0001474COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy and Wellness LLC Speech-Language Pathologist CurrentSince Aug 25, 2025 Accepting new patients

Locations

1371 Hecla Dr
Ste E
Louisville, CO 80027
Phone (303) 665-6064

1371 Hecla Dr
Ste D130
Louisville, CO 80027
Phone (303) 936-5582

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, 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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1023996741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 RING AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917374416",
            "telephone_number": "909-731-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 HECLA DR STE D130",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272318",
            "telephone_number": "303-963-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOBERRY",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "credential": "MA SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.