Active NPI
Rebecca Lynn Mougel, CCC-SLP
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1508335845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01761L
- Practice address
- 800 Cypress Waters Blvd
Dallas, TX 75019 - Phone
- (800) 788-4815
- NPI assigned
- Nov 15, 2018
- 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 | 01761L | MD | Primary |
Addresses
Primary practice location
800 Cypress Waters Blvd
Dallas, TX 75019
Mailing address
3299 Huntsman Dr
Huntingtown, MD 20639-2327
Phone (330) 931-2007
Other practice location 1
600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01761L | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1508335845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3299 HUNTSMAN DR",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206392327",
"telephone_number": "330-931-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CYPRESS WATERS BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75019",
"telephone_number": "800-788-4815"
}
],
"practiceLocations": [
{
"address_1": "600 E Main St",
"address_purpose": "LOCATION",
"city": "Elma",
"state": "WA",
"postal_code": "985419560",
"country_code": "US",
"telephone_number": "360-346-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUGEL",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2021-11-01",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01761L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.