Individual provider Active NPI

Brenda Ann Crowell, MA, CCC/LSLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1578716296
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105241 Issued in TX
Practice address
13333 Blanco Rd Ste 310
San Antonio, TX 78216
Phone
(210) 479-5875
NPI assigned
Oct 25, 2008
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105241 TX Primary
Speech-Language Pathologist 235Z00000X 7545-1 NY

Addresses

Primary practice location

13333 Blanco Rd Ste 310
San Antonio, TX 78216

Mailing address

13363 Galicia
Universal City, TX 78148-2722
Phone (210) 387-8226

Other practice location 1

10010 Vasso Vw Apt 2
Converse, TX 78109-2786
Phone (315) 430-4764

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7545-1NYMDSpeech-Language Pathologist
105241TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply the Best Home Therapy, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1578716296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13363 GALICIA",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482722",
            "telephone_number": "210-387-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-479-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10010 Vasso Vw Apt 2",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781092786",
            "country_code": "US",
            "telephone_number": "315-430-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MA, CCC/LSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-25",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105241",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "7545-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.