Individual provider Active NPI

Marilee Katherine Brinson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Orange, TX
National Provider Identifier
1346867462
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115522 Issued in TX
Practice address
6901 Medical Center Dr Ste 260
Orange, TX 77630-1414
Phone
(409) 344-9089
NPI assigned
Jul 6, 2020
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 115522 TX Primary

Addresses

Primary practice location

6901 Medical Center Dr Ste 260
Orange, TX 77630-1414

Mailing address

34925 State Highway 87 S
Buna, TX 77612-3783
Phone (409) 344-9089

Other practice location 1

1409 S Highway 69
Nederland, TX 77627-7842
Phone (409) 344-9089

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
115522TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraspace LLP Speech-Language Pathologist CurrentSince Jun 30, 2026 Accepting new patients

Locations

1409 S Highway 69
Nederland, TX 77627
Phone (409) 344-9089

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1346867462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34925 STATE HIGHWAY 87 S",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776123783",
            "telephone_number": "409-344-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL CENTER DR STE 260",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301414",
            "telephone_number": "409-344-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 S Highway 69",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776277842",
            "country_code": "US",
            "telephone_number": "409-344-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "MARILEE",
        "middle_name": "KATHERINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.