Individual provider Active NPI

Emily McCoy, CCC-SLP, BCBA, LBA

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1235685678
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110746 Issued in TX
Practice address
1207 Vargas Rd
Austin, TX 78741-3563
Phone
(713) 377-2162
Fax
(512) 904-7509
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 3182 TX
Speech-Language Pathologist 235Z00000X 110746 TX Primary

Addresses

Primary practice location

1207 Vargas Rd
Austin, TX 78741-3563

Mailing address

1207 Vargas Rd
Austin, TX 78741-3563
Phone (713) 377-2162

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
3182TXMDPodiatrist
110746TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Therapy LLC Behavior Analyst CurrentSince Apr 17, 2020 Accepting new patients

Locations

8700 Menchaca Rd
Ste 501
Austin, TX 78748
Phone (512) 579-0022

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1235685678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 VARGAS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413563",
            "telephone_number": "713-377-2162",
            "fax_number": "512-904-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 VARGAS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413563",
            "telephone_number": "713-377-2162",
            "fax_number": "512-904-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "EMILY",
        "credential": "CCC-SLP, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3182",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.