Active NPI
Michelle Huebner, M.C.D. CCC-SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1104326552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111202
- Practice address
- 1240 Blalock Rd Ste 170
Houston, TX 77055-6447 - Phone
- (713) 468-0300
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 111202 | TX | Primary |
Addresses
Primary practice location
1240 Blalock Rd Ste 170
Houston, TX 77055-6447
Mailing address
514 Nottingham Oaks TRL
Houston, TX 77079-6332
Phone (713) 818-3892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111202 | Other | TX | ASHA |
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 |
|---|---|---|---|
| 111202 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Therapy Works, Inc. | Multi-Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1104326552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 NOTTINGHAM OAKS TRL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770796332",
"telephone_number": "713-818-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 BLALOCK RD STE 170",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556447",
"telephone_number": "713-468-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "MICHELLE",
"credential": "M.C.D. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "111202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.