Individual provider Active NPI

Stephanie Catherine Pilsner, SLP-CCC, BCBA

  • Behavior Analyst
  • Webster, TX
National Provider Identifier
1770736696
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
210 Genesis Blvd Ste D
Webster, TX 77598-1636
Phone
(832) 569-4316
Fax
(832) 838-4458
NPI assigned
Oct 23, 2008
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104437 TX
Behavior Analyst 103K00000X 4199 TX
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

210 Genesis Blvd Ste D
Webster, TX 77598-1636

Mailing address

210 Genesis Blvd Ste D
Webster, TX 77598-1636
Phone (832) 569-4316

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

State licenses

LicenseStateTypeSpecialty
4199TXMDChiropractor
104437TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifting Young Minds to New Heights, LLC Behavior Analyst CurrentSince Sep 17, 2023 Accepting new patients

Locations

210 Genesis Blvd
Ste D
Webster, TX 77598
Phone (832) 569-4316

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1770736696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-569-4316",
            "fax_number": "832-838-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-569-4316",
            "fax_number": "832-838-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILSNER",
        "first_name": "STEPHANIE",
        "middle_name": "CATHERINE",
        "credential": "SLP-CCC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104437",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4199",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.