Gina Stovall, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PSLP.0000785 Issued in CO

Practice address

400 Heritage Ave
Castle Rock, CO 80104-8726

Phone

(303) 387-5150

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Autistic Treatment Center Inc

  • Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1932455284
  NPD (past)
• Autistic Treatment Center, Inc.

  • Behavior Analyst
  • Fort Worth, TX
  • NPI 1184367708
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1801366406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 ARNICA WAY",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168782",
            "telephone_number": "512-750-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HERITAGE AVE",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048726",
            "telephone_number": "303-387-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "GINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000785",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
            "identifier": "18-69273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold T Stewart, LCSW LADC CCS
• Jessica Steyn, L.AC., DIPL.AC.
• Nicholas Stockwell, DO
• Rachel L Stolley, NURSE PRACTITIONER
• Paul A Stone, D.P.M.
• Michael D. Stowell
• Emilie L Straka McLeod, CCC SLP
• Cameron Street
• Allison Streeter
• Julie Stretz, CNM, WHNP-BC

• Speech-Language Pathologist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.