Individual provider Active NPI

Moira K Gallagher, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bastrop, TX
National Provider Identifier
1306728647
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114614 Issued in TX
Practice address
302 Black Buffalo Rd
Bastrop, TX 78602-2278
Phone
(512) 798-3352
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 114614 TX Primary

Addresses

Primary practice location

302 Black Buffalo Rd
Bastrop, TX 78602-2278

Mailing address

302 Black Buffalo Rd
Bastrop, TX 78602-2278
Phone (512) 798-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922003264 TX Practitioner - Qualified Speech Language Pathologist 1355846353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bellah Therapies LLCGroup PAC ID 3072817873, 9 clinicians

Practice addresses (Care Compare)

302 Black Buffalo Rd
Bastrop, TX 78602-2278
Phone (512) 798-3352

581 Pan American Dr
Suite 3
Harker Heights, TX 76548-1960
Phone (254) 394-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
114614TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing SLP CurrentSince Aug 20, 2025 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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1306728647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BLACK BUFFALO RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022278",
            "telephone_number": "512-798-3352",
            "fax_number": "737-358-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BLACK BUFFALO RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022278",
            "telephone_number": "512-798-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MOIRA",
        "middle_name": "K",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.