Active NPI
Speech Pathology Services PLLC
- Speech-Language Pathologist
- Kaufman, TX
National Provider Identifier
1467630442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darla R Fountain, MS CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729180 | Other | TX | UNITED HEALTHCARE |
| 729180 | Other | TX | OPTUM PHYSICAL HEALTH |
| 166896742 | Medicaid | AR | |
| 5F705 | Other | AR | BCBS AR |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Kaufman, TX
- NPI 1326084864
-
- Speech-Language Pathologist
- Mount Vernon, TX
- NPI 1255900965
-
- Speech-Language Pathologist
- Arkadelphia, AR
- NPI 1194031823
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.