Joseph Trevino, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110688 Issued in TX

Practice address

400 E Main St
Alice, TX 78332-4969

Phone

(361) 396-4029

Fax

(361) 396-4034

NPI assigned

Aug 23, 2018

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Little Lighthouse Childrens Rehab

  dba Little Lighthouse Children's Rehab, LLC

  • Rehabilitation Clinic/Center
  • Alice, TX
  • NPI 1811260193
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1871074245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E SHELTON ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636366",
            "telephone_number": "361-522-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324969",
            "telephone_number": "361-396-4029",
            "fax_number": "361-396-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JOSEPH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elva B Torres, NP
• Ricardo Torres
• Adela Trejo, LCSW
• Bettina Margaret Trejo, LPC
• Jessica Lynette Garcia Trevino, M.S. CCC/SLP
• VI Quoc Truong, DO
• Martin Twumampofo, MD
• United Connections Counseling, Inc.
• Unity Emergency Medical Service (Carlos Cantu Jr.)
• Usman Qureshi, MD, PA (Alice Heart Center)

• Speech-Language Pathologist in Alice, TX
• Providers in Alice, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.