Individual provider Active NPI

Jouli Gobrial

  • Speech-Language Pathologist
  • Cornelius, NC
National Provider Identifier
1225875495
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002804 Issued in NC
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

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SLP77341MAMDSpeech-Language Pathologist
30002804NCMDSpeech-Language Pathologist
8904SCMDSpeech-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.

Verify at the official NPI Registry.