Organization Active NPI

Essential Texas Speech Therapy PLLC

Doing business as Texas Speech Therapy

  • Speech-Language Pathologist
  • Missouri City, TX
National Provider Identifier
1245762426
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109444 Issued in TX
Legal business name
ESSENTIAL TEXAS SPEECH THERAPY PLLC
Doing business as
Texas Speech Therapy
Practice address
4502 Riverstone Blvd
Suite 701
Missouri City, TX 77459
Phone
(281) 969-7527
Fax
(281) 969-8711
NPI assigned
Mar 28, 2017
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Amber Lister, MA, CCC-SLPNPI 1477085975
Title
Speech-Language Pathologist
Phone
(281) 969-7527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1289797 TX
Occupational Therapist 225X00000X 112083 TX
Speech-Language Pathologist 235Z00000X 109444 TX Primary
Speech-Language Pathologist 235Z00000X 110471 TX
Speech-Language Pathologist 235Z00000X 109001 TX
Speech-Language Pathologist 235Z00000X 109208 TX
Multi-Specialty Clinic/Center 261QM1300X TX

Addresses

Primary practice location

4502 Riverstone Blvd
Suite 701
Missouri City, TX 77459

Mailing address

4502 Riverstone Blvd
Suite 701
Missouri City, TX 77459-5204
Phone (281) 969-7527

Other names 1

  • Texas Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4502 Riverstone Blvd
Ste 701
Missouri City, TX 77459
Phone (281) 969-5988

4638 Riverstone Blvd
Missouri City, TX 77459
Phone (281) 969-7527

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1245762426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD",
            "address_2": "SUITE 701",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595204",
            "telephone_number": "281-969-7527",
            "fax_number": "281-969-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD",
            "address_2": "SUITE 701",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-969-7527",
            "fax_number": "281-969-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL TEXAS SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "281-969-7527",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1289797",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112083",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109444",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110471",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109001",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109208",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.