Organization Active NPI

Safari Therapy Group

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1689505893
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SAFARI THERAPY GROUP
Practice address
11973 Banner Run Dr
El Paso, TX 79936-0852
Phone
(915) 346-1616
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Ms. Jacqueline Guadalupe Pina, M.A., CCC-SLPNPI 1265387575
Title
SLP
Phone
(915) 346-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

11973 Banner Run Dr
El Paso, TX 79936-0852

Mailing address

11973 Banner Run Dr
El Paso, TX 79936-0852
Phone (915) 346-1616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1689505893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11973 BANNER RUN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360852",
            "telephone_number": "915-346-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11973 BANNER RUN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360852",
            "telephone_number": "915-346-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "915-346-1616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.