Active NPI
Jemma Goss
- Speech-Language Pathologist
- Carrollton, TX
National Provider Identifier
1487068367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109773
- Practice address
- 3630 N Josey LN
Suite 100
Carrollton, TX 75007-3159 - Phone
- (469) 892-7500
- Fax
- (469) 575-3002
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 109773 | TX | Primary |
Addresses
Primary practice location
3630 N Josey LN
Suite 100
Carrollton, TX 75007-3159
Mailing address
3630 N Josey LN
Suite 100
Carrollton, TX 75007-3159
Phone (469) 892-7500
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 |
|---|---|---|---|
| 109773 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy & Beyond of North Texas | 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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1831503457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1487068367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 N JOSEY LN",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750073159",
"telephone_number": "469-892-7500",
"fax_number": "469-575-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 N JOSEY LN",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750073159",
"telephone_number": "469-892-7500",
"fax_number": "469-575-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSS",
"first_name": "JEMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.