Individual provider Active NPI

Kayla Christine Kouletsis, SLP-ASSISTANT

  • Speech-Language Assistant
  • Spring, TX
National Provider Identifier
1962285080
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
42175 Issued in TX
Practice address
25018 Oakhurst Dr
Spring, TX 77386-2722
Phone
(281) 364-9695
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 42175 TX Primary

Addresses

Primary practice location

25018 Oakhurst Dr
Spring, TX 77386-2722

Mailing address

25018 Oakhurst Dr
Spring, TX 77386-2722
Phone (281) 364-9695

Other practice location 1

3000 Richmond Ave Ste 240
Houston, TX 77098-3188
Phone (281) 823-9191

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
Pathfinder Pediatrics Home Care, LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

25018 Oakhurst Dr
Spring, TX 77386
Phone (281) 363-1005

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1962285080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25018 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862722",
            "telephone_number": "281-364-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25018 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862722",
            "telephone_number": "281-364-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Richmond Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770983188",
            "country_code": "US",
            "telephone_number": "281-823-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOULETSIS",
        "first_name": "KAYLA",
        "middle_name": "CHRISTINE",
        "credential": "SLP-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.