Individual provider Active NPI

Socorro S Mason, SLP

  • Speech-Language Pathologist
  • Sweetwater, TX
National Provider Identifier
1285988006
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104553 Issued in TX
Practice address
1104 Henderson St
Sweetwater, TX 79556-6450
Phone
(325) 236-6821
Fax
(325) 236-6112
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 104553 TX Primary

Addresses

Primary practice location

1104 Henderson St
Sweetwater, TX 79556-6450

Mailing address

1104 Henderson St
Sweetwater, TX 79556-6450
Phone (325) 236-6821

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
104553TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR Past Accepting new patients
Paso del Norte Children'S Development Center Past Accepting new patients

Organizations & group practices 2

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1285988006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HENDERSON ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795566450",
            "telephone_number": "325-236-6821",
            "fax_number": "325-236-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HENDERSON ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795566450",
            "telephone_number": "325-236-6821",
            "fax_number": "325-236-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SOCORRO",
        "middle_name": "S",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.