Active NPI
Ahbria Chontrelle Gibson, M.S., CCC-SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1750998571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117382
- Practice address
- 600 W 6TH St
Fort Worth, TX 76102-3684 - Phone
- (682) 990-6617
- NPI assigned
- Sep 25, 2020
- 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 | 117382 | TX | Primary |
Addresses
Primary practice location
600 W 6TH St
Fort Worth, TX 76102-3684
Mailing address
600 W 6TH St
Fort Worth, TX 76102-3684
Phone (682) 990-6617
Other names 1
- Ahbria Williams
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@elitespectrumaba.com | Direct | |
| Direct Messaging Address | bria@briawill.com | Speech Up |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4712 W Plano Pkwy
Suite 139
Plano, TX 75093-5307
9617 Zaharias Dr
McKinney, TX 75072-8923
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117382 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Up | Speech-Language Pathologist | Current | Accepting new patients |
| Elite Spectrum Care | Current | Accepting new patients |
Locations
600 W 6th St
Fort Worth, TX 76102
Phone (682) 328-3336
10830 Craighead Dr
Ste 100
Houston, TX 77025
Phone (346) 314-0828
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Fort Worth, TX
- NPI 1134907504
-
- Community/Behavioral Health Agency
- Plano, TX
- NPI 1457002370
-
- Behavior Analyst
- Houston, TX
- NPI 1750822318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1750998571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W 6TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023684",
"telephone_number": "682-990-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 6TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023684",
"telephone_number": "682-990-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "AHBRIA",
"middle_name": "CHONTRELLE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "117382",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@elitespectrumaba.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10830 Craighead Dr Ste 100",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770255804",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bria@briawill.com",
"affiliation": "Y",
"affiliationName": "Speech Up",
"address_1": "600 W 6th St",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761023684",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AHBRIA",
"last_name": "WILLIAMS",
"credential": "AHBRIA WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.