Active NPI
Janie Rebecca Willis, M.S. CCC/SLP
- Speech-Language Pathologist
- Bellaire, TX
National Provider Identifier
1407961642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18504
- Practice address
- 4545 Bissonnet St
Suite 215
Bellaire, TX 77401-3121 - Phone
- (713) 770-0803
- Fax
- (713) 218-7593
- NPI assigned
- Aug 20, 2006
- 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 | 18504 | TX | Primary |
Addresses
Primary practice location
4545 Bissonnet St
Suite 215
Bellaire, TX 77401-3121
Mailing address
22714 Birch Point Dr
Katy, TX 77450-8702
Phone (281) 798-3161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87885T | Other | TX | BCBS PROVIDER NUMBER |
| 7088315 | Other | TX | AETNA PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18504 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy L. Foreman & Associates, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fort Bend Speech Therapy Associates
- Speech-Language Pathologist
- Bellaire, TX
- NPI 1427066679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407961642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22714 BIRCH POINT DR",
"city": "KATY",
"state": "TX",
"postal_code": "774508702",
"telephone_number": "281-798-3161",
"fax_number": "713-218-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 BISSONNET ST",
"address_2": "SUITE 215",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013121",
"telephone_number": "713-770-0803",
"fax_number": "713-218-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JANIE",
"middle_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "87885T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7088315",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.