Individual provider Active NPI

Amber Reese, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Tomball, TX
National Provider Identifier
1710407887
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111060 Issued in TX
Practice address
994 Village Square Dr # 6K
Tomball, TX 77375-5293
Phone
(832) 510-9240
Fax
(346) 299-5204
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 111060 TX Primary

Addresses

Primary practice location

994 Village Square Dr # 6K
Tomball, TX 77375-5293

Mailing address

994 Village Square Dr # 6K
Tomball, TX 77375-5293
Phone (832) 510-9240

Other identifiers 1

IdentifierTypeStateIssuer
111060OtherTXSTATE BOARD OF EXAMINERS FOR SPEECH PATHOLOGY

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
111060TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Therapy Services, PLLC Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients

Locations

994 Village Square Dr
#6K
Tomball, TX 77375
Phone (713) 635-9886

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1710407887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 VILLAGE SQUARE DR # 6K",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755293",
            "telephone_number": "832-510-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 VILLAGE SQUARE DR # 6K",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755293",
            "telephone_number": "832-510-9240",
            "fax_number": "346-299-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF EXAMINERS FOR SPEECH PATHOLOGY",
            "identifier": "111060",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.