Active NPI
Mia Vianee Villarreal
- Speech-Language Pathologist
- Los Fresnos, TX
National Provider Identifier
1679140198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 124191
- Practice address
- 503 W Ocean Blvd
Los Fresnos, TX 78566-3635 - Phone
- (956) 233-4111
- NPI assigned
- Jun 4, 2021
- Last updated
- Aug 5, 2025
- 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 | 124191 | TX | Primary |
Addresses
Primary practice location
503 W Ocean Blvd
Los Fresnos, TX 78566-3635
Mailing address
1321 Bluewing Cir
Brownsville, TX 78520-9267
Phone (956) 312-0391
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 |
|---|---|---|---|
| 124191 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ageless Living Home Health LLC | Past | Accepting new patients | |
| Little Lighthouse Childrens Rehab | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Angels of Care Pediatric Home Health
- Home Health Agency
- Fort Worth, TX
- NPI 1952614067
-
- Rehabilitation Clinic/Center
- Los Fresnos, TX
- NPI 1942398151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1679140198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 BLUEWING CIR",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785209267",
"telephone_number": "956-312-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W OCEAN BLVD",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785663635",
"telephone_number": "956-233-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "MIA",
"middle_name": "VIANEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "124191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Fresnos, TX
- Ufirst Imaging LLC
- Upward Quest, LLC
- Miguel Angel Uribe
- Arlene Elizabeth Valdez, P.A.
- Antonio Vasquez, OD
- Monica Cantu Voreis, DDS
- W2Ez PLLC Dba Medcare Occupational Helath
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2765)
- Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-2765)
- Lindy Weidert, RDCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.