Active NPI
Jouli Gobrial
- Speech-Language Pathologist
- Cornelius, NC
National Provider Identifier
1225875495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002804
- Practice address
- 9624 Bailey Rd Ste 273
Cornelius, NC 28031-6120 - Phone
- (803) 329-9500
- Fax
- (803) 228-0101
- NPI assigned
- Jul 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8904 | SC | |
| Speech-Language Pathologist | 235Z00000X | SLP77341 | MA | |
| Speech-Language Pathologist | 235Z00000X | 30002804 | NC | Primary |
Addresses
Primary practice location
9624 Bailey Rd Ste 273
Cornelius, NC 28031-6120
Mailing address
1612 Ebenezer Rd Ste 101
Rock Hill, SC 29732-3862
Phone (803) 329-9500
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 |
|---|---|---|---|
| SLP77341 | MA | MD | Speech-Language Pathologist |
| 30002804 | NC | MD | Speech-Language Pathologist |
| 8904 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1225875495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 EBENEZER RD STE 101",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323862",
"telephone_number": "803-329-9500",
"fax_number": "803-228-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9624 BAILEY RD STE 273",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316120",
"telephone_number": "803-329-9500",
"fax_number": "803-228-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBRIAL",
"first_name": "JOULI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-13",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8904",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP77341",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.