Individual provider Active NPI

Ahbria Chontrelle Gibson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1750998571
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117382 Issued in TX
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

Updated by the provider on Nov 10, 2023

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 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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20260511001380 TX Practitioner - Qualified Speech Language Pathologist 6002384898 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
117382TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Up Speech-Language Pathologist CurrentSince Nov 12, 2023 Accepting new patients
Elite Spectrum Care CurrentSince Apr 3, 2022 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.

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.

Verify at the official NPI Registry.