Active NPI
Olivia Fuentes
- Speech-Language Assistant
- Houston, TX
National Provider Identifier
1366167025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 42438
- Practice address
- 9802 Sagebark Dr
Houston, TX 77089-4216 - Phone
- (832) 867-0077
- NPI assigned
- Oct 5, 2022
- Reactivated
- May 19, 2026
- Last updated
- May 19, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 42438 | TX | Primary |
| Behavior Technician | 106S00000X | RBT-22-199523 | TX |
Addresses
Primary practice location
9802 Sagebark Dr
Houston, TX 77089-4216
Mailing address
9802 Sagebark Dr
Houston, TX 77089-4216
Phone (832) 867-0077
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 |
|---|---|---|---|
| RBT-22-199523 | TX | MD | Behavior Technician |
| 42438 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reason for Hope Bellaire | Current | Accepting new patients | |
| God Is Good, Inc. | Past | Accepting new patients |
Locations
2913 Old Chocolate Bayou Rd
Ste A
Pearland, TX 77584
Phone (832) 632-2177
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Bellaire, TX
- NPI 1205552601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1366167025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9802 SAGEBARK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770894216",
"telephone_number": "832-867-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9802 SAGEBARK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770894216",
"telephone_number": "832-867-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"deactivation_date": "2026-04-25",
"reactivation_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "42438",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-22-199523",
"primary": false
}
],
"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 May 19, 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.