Lisa Perez, MA, CCC/SLP ASDCS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104753 Issued in TX

Practice address

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988

Phone

(281) 616-3839

Fax

(346) 299-5196

NPI assigned

Apr 19, 2012

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Confident Kids Therapy LLC

  dba Confident Kids Speech Therapy

  • Speech-Language Pathologist
  • Sugar Land, TX
  • NPI 1245705268
  NPD

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1518224211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 TOWNSGATE CIR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISA",
        "credential": "MA, CCC/SLP ASDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Pepper, M.D.
• Karuna Peravali, D.D.S
• Jorge A Perez-Castillo, SA-C
• Blanca Josefina Perez
• Joseph Reginald Perez, M.D.
• Maria Yolanda Perez, APRN, FNP-C
• Megan Perez
• Rebecca Denise Perez
• Perfectly Wrapped Ministry (Thee Lotus)
• Abraham K. Peringol, M.D.

• Speech-Language Pathologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.