Active NPI
Mary Ross, SLP
- Speech-Language Pathologist
- Pasadena, TX
National Provider Identifier
1114261815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106076
- Practice address
- 3920 Mickey Gilley Blvd
Pasadena, TX 77505-3005 - Phone
- (713) 740-0712
- NPI assigned
- Nov 19, 2012
- 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 | 106076 | TX | Primary |
Addresses
Primary practice location
3920 Mickey Gilley Blvd
Pasadena, TX 77505-3005
Mailing address
8021 Dockal Rd
Houston, TX 77028-3331
Phone (832) 202-5788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106076 | Other | TX | SLP LICENSE |
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 |
|---|---|---|---|
| 106076 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1114261815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8021 DOCKAL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770283331",
"telephone_number": "832-202-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 MICKEY GILLEY BLVD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053005",
"telephone_number": "713-740-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MARY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "106076",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.