Jessenia Tello, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104405 Issued in TX

Practice address

9240 County View Rd
Dallas, TX 75249-1124

Phone

(972) 708-2647

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• DSM Healthcare Ventures, LLC

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1073814927
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1053889964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 SHADY ELM DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635589",
            "telephone_number": "214-663-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 COUNTY VIEW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491124",
            "telephone_number": "972-708-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 Shady Elm Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635589",
            "country_code": "US",
            "telephone_number": "214-663-9553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Hwy 360 Ste 410",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750501412",
            "country_code": "US",
            "telephone_number": "817-652-2924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLO",
        "first_name": "JESSENIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "4417 Shady Elm Dr",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760635589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clara Leigh Telford
• Kristin Telford
• Armando Tellez Vazquez
• Cynthia Tellez
• Manuel Tellez III, D.O.
• Leda Erika Tello, RD
• Telos Consulting, LLC
• Megan Lynn Telste, D.D.S.
• Amanda Telthorst, RN, CLC
• Kartik Sainag Telukuntla

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.