Individual provider Active NPI

Stephany Gissell Gonzalez

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1205698545
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11834 Issued in FL
Practice address
9625 SW 24TH St Apt C205
Miami, FL 33165-8047
Phone
(786) 683-5909
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 SZ11834 FL Primary

Addresses

Primary practice location

9625 SW 24TH St Apt C205
Miami, FL 33165-8047

Mailing address

9625 SW 24TH St Apt C205
Miami, FL 33165-8047
Phone (786) 683-5909

Other practice location 1

6741 SW 24th St Ste 59
Miami, FL 33155-1768
Phone (786) 622-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251104000009 FL Practitioner - Qualified Speech Language Pathologist 9638669294 Reassigns benefits to 1 organization
I20251222003929 GA Practitioner - Qualified Speech Language Pathologist 9638669294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ11834FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jan 26, 2026 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Dec 21, 2025 Accepting new patients
Advanced Therapy Inc. Speech-Language Pathologist PastSince Jun 1, 2021 Accepting new patients
Advanced Therapy Inc. Speech-Language Pathologist Past Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

Organizations & group practices 4

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1205698545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SW 24TH ST APT C205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658047",
            "telephone_number": "786-683-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SW 24TH ST APT C205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658047",
            "telephone_number": "786-683-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6741 SW 24th St Ste 59",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551768",
            "country_code": "US",
            "telephone_number": "786-622-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANY",
        "middle_name": "GISSELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.