Active NPI
Constance Chinyere Ejismekwu, SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1346692589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109275
- Practice address
- 2401 Fountain View Dr
Ste 464 Pmb2112
Houston, TX 77057-4819 - Phone
- (832) 786-1524
- Fax
- (832) 747-5410
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109275 | TX | Primary |
Addresses
Primary practice location
2401 Fountain View Dr
Ste 464 Pmb2112
Houston, TX 77057-4819
Mailing address
2401 Fountain View Dr
Ste 464 Pmb2112
Houston, TX 77057-4819
Phone (832) 786-1524
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109275 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tangible Difference Learning Center, LLC | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1225305287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1346692589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 FOUNTAIN VIEW DR",
"address_2": "STE 464 PMB2112",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574819",
"telephone_number": "832-786-1524",
"fax_number": "832-747-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 FOUNTAIN VIEW DR",
"address_2": "STE 464 PMB2112",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574819",
"telephone_number": "832-786-1524",
"fax_number": "832-747-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJISMEKWU",
"first_name": "CONSTANCE",
"middle_name": "CHINYERE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.