Individual provider Active NPI

Tyisha R Jones

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1871933382
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108281 Issued in TX
Practice address
10301 Buffalo Speedway Apt 2122
Houston, TX 77054-2768
Phone
(936) 444-7430
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 108281 TX Primary

Addresses

Primary practice location

10301 Buffalo Speedway Apt 2122
Houston, TX 77054-2768

Mailing address

10301 Buffalo Speedway Apt 2122
Houston, TX 77054-2768
Phone (936) 444-7430

Other practice location 1

4250 Cook Rd
Houston, TX 77072-1115
Phone (281) 498-8110

Other identifiers 1

IdentifierTypeStateIssuer
0657199-01MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mirror Me Therapy, LLC Speech-Language Pathologist CurrentSince Apr 25, 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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1871933382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BUFFALO SPEEDWAY APT 2122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542768",
            "telephone_number": "936-444-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BUFFALO SPEEDWAY APT 2122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542768",
            "telephone_number": "936-444-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770721115",
            "country_code": "US",
            "telephone_number": "281-498-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TYISHA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0657199-01",
            "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 May 31, 2022; 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.