Individual provider Active NPI

Lisbeth E Monterrosa-Jovel

  • Speech-Language Pathologist
  • Boerne, TX
National Provider Identifier
1801184965
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
36149 Issued in TX
Practice address
7 Upper Balcones Rd
Boerne, TX 78006-8546
Phone
(210) 360-1662
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 36149 TX Primary

Addresses

Primary practice location

7 Upper Balcones Rd
Boerne, TX 78006-8546

Mailing address

7 Upper Balcones Rd
Boerne, TX 78006-8546
Phone (210) 360-1662

Other identifiers 2

IdentifierTypeStateIssuer
149984001MedicaidTX
207164901MedicaidTX

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
36149TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Kids Home Therapy Professional Limited Liability Company PastSince Oct 31, 2021 Accepting new patients

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1801184965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 UPPER BALCONES RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068546",
            "telephone_number": "210-360-1662",
            "fax_number": "210-640-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 UPPER BALCONES RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068546",
            "telephone_number": "210-360-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERROSA-JOVEL",
        "first_name": "LISBETH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "36149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.