Celina Alysse Serfontein, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115666 Issued in TX

Practice address

120 S Swenson St
Stamford, TX 79553-4624

Phone

(325) 773-3637

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Eastern New Mexico University

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1326564394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SWENSON ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795534624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SWENSON ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795534624",
            "telephone_number": "325-773-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERFONTEIN",
        "first_name": "CELINA",
        "middle_name": "ALYSSE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie T Nguyen
• Bryan Elliott Patterson, PT
• Jenn McCarthy-Blundin Prichard, LMFT-ASSOCIATE
• Cali Rose, M.S., CCC-SLP
• Sagebrush Living Center LTD
• Shaughn T. SMS D.C., P. C.
• Stamford EMS, Inc
• Stamford Healthcare Management LLC
• Stamford Hospital District
• Stamford Hospital District

• Speech-Language Pathologist in Stamford, TX
• Providers in Stamford, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.