Individual provider Active NPI

Courtney Michelle Todd, MS

  • Speech-Language Pathologist
  • Rosharon, TX
National Provider Identifier
1255894689
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115312 Issued in TX
Practice address
10413 Junction Peak Dr
Rosharon, TX 77583-3478
Phone
(832) 643-6360
NPI assigned
Apr 11, 2019
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 115312 TX Primary

Addresses

Primary practice location

10413 Junction Peak Dr
Rosharon, TX 77583-3478

Mailing address

10413 Junction Peak Dr
Rosharon, TX 77583-3478
Phone (832) 643-6360

Other practice location 1

7719 Eight Willows Rd
Missouri City, TX 77489-1849
Phone (832) 643-6360

Other practice location 2

4250 Cook Rd
Houston, TX 77072-1115
Phone (281) 498-8110

Other identifiers 2

IdentifierTypeStateIssuer
1922137488OtherTXALIEF ISD GROUP
0657199-01MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
115312TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Gems Home Health Care LLC CurrentSince May 29, 2022 Accepting new patients

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, 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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1255894689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 JUNCTION PEAK DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833478",
            "telephone_number": "832-643-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 JUNCTION PEAK DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833478",
            "telephone_number": "832-643-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7719 Eight Willows Rd",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774891849",
            "country_code": "US",
            "telephone_number": "832-643-6360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770721115",
            "country_code": "US",
            "telephone_number": "281-498-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALIEF ISD GROUP",
            "identifier": "1922137488",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0657199-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.