Individual provider Active NPI

Jessica Abarca Couderc

  • Speech-Language Assistant
  • Houston, TX
National Provider Identifier
1811544828
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
41090 Issued in TX
Practice address
5700 NW Central Dr Ste 350
Houston, TX 77092-2037
Phone
(832) 727-3771
Fax
(888) 448-7650
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 41090 TX Primary

Addresses

Primary practice location

5700 NW Central Dr Ste 350
Houston, TX 77092-2037

Mailing address

5700 NW Central Dr Ste 350
Houston, TX 77092-2037
Phone (832) 727-3771

Other identifiers 1

IdentifierTypeStateIssuer
72020MedicaidTX

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
41090TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Solaris Pediatric Therapy CurrentSince Jun 23, 2024 Accepting new patients

Locations

5700 NW Central Dr
Ste 350
Houston, TX 77092
Phone (832) 727-3771

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1811544828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 NW CENTRAL DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922037",
            "telephone_number": "832-727-3771",
            "fax_number": "888-448-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 NW CENTRAL DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922037",
            "telephone_number": "832-727-3771",
            "fax_number": "888-448-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUDERC",
        "first_name": "JESSICA",
        "middle_name": "ABARCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.