Organization Active NPI

Speech Pathology Services PLLC

  • Speech-Language Pathologist
  • Kaufman, TX
National Provider Identifier
1467630442
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH PATHOLOGY SERVICES PLLC
Practice address
1409 Overlook Dr
Kaufman, TX 75142-3818
Phone
(903) 826-7380
Fax
(214) 889-9580
NPI assigned
Feb 1, 2008
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Darla R Fountain, MS CCC-SLPNPI 1326084864
Title
Owner
Phone
(903) 826-7380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1409 Overlook Dr
Kaufman, TX 75142-3818

Mailing address

1409 Overlook Dr
Kaufman, TX 75142-3818
Phone (903) 826-7380

Other identifiers 4

IdentifierTypeStateIssuer
729180OtherTXUNITED HEALTHCARE
729180OtherTXOPTUM PHYSICAL HEALTH
166896742MedicaidAR
5F705OtherARBCBS AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1467630442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OVERLOOK DR",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423818",
            "telephone_number": "903-826-7380",
            "fax_number": "214-889-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OVERLOOK DR",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423818",
            "telephone_number": "903-826-7380",
            "fax_number": "214-889-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-826-7380",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "729180",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM PHYSICAL HEALTH",
            "identifier": "729180",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166896742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "5F705",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.