Jessenia N Perea, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

32211 Sky Way LN
Waller, TX 77484-9052

Phone

(832) 388-8964

Fax

(832) 998-8141

NPI assigned

Dec 12, 2008

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Motivate Bilingual Speech Therapy, LLC

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  • Waller, TX
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  Authorized official Same address or phone
• Emilia's Kids

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  • NPI 1295970150
  NPD (past)
• Next Step Therapy Applied Behavior Analysis, PLLC

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  • NPI 1235098286
  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1730324112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32211 SKY WAY LN",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774849052",
            "telephone_number": "832-388-8964",
            "fax_number": "832-998-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32211 SKY WAY LN",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774849052",
            "telephone_number": "832-388-8964",
            "fax_number": "832-998-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "JESSENIA",
        "middle_name": "N",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Odima, FNP
• Rachel Odwyer, CNIM
• Melanie Oslund-Goldberg, EPT
• Lindsay Shay Owen, OD
• Lorena Penaloza, M.S., CCC-SLP
• Victor Alexander Perea, BS
• Omobola Abosede Petinrin, FNP
• Anthony Tam Pham, D.O.
• Anthony Guy Pizzino, CNIM
• Kristina Port, CNIM

• Speech-Language Pathologist in Waller, TX
• Providers in Waller, 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 Jan 27, 2021; 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.