Willow Tree Therapy Group, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILLOW TREE THERAPY GROUP, PLLC

Practice address

1100 Blackenhurst LN
Allen, TX 75002-3933

Phone

(214) 585-8144

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Meagon Broussard Glass, M.S., CCC-SLPNPI 1881171270

Title

Speech-Language Pathologist

Phone

(214) 585-8144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meagon Broussard Glass, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Allen, TX
  • NPI 1881171270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1609623248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W MCDERMOTT DR # 1314",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136500",
            "telephone_number": "214-585-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BLACKENHURST LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023933",
            "telephone_number": "214-585-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MEAGON",
        "authorized_official_middle_name": "BROUSSARD",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "214-585-8144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Williams
• Scott Williams, CPO
• Steven Mark Williams, DDS
• Sydni Williams
• Jeanie Catherine Willmann, SLP
• John Roy Wilson, LPC
• Jonathan Wilson
• Ken Wilson II, D.C.
• Madison Wilson, RBT
• Russell Carl Wilson, P.A.-C, A.T.C.

• Speech-Language Pathologist in Allen, TX
• Providers in Allen, 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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.