Individual provider Active NPI

Mable B Cook, M.S. SLP

  • Speech-Language Pathologist
  • Katy, TX
National Provider Identifier
1962796938
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106821 Issued in TX
Practice address
21131 Stoney Haven Dr
Katy, TX 77449-6582
Phone
(225) 288-1995
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6251 LA
Speech-Language Pathologist 235Z00000X 106821 TX Primary

Addresses

Primary practice location

21131 Stoney Haven Dr
Katy, TX 77449-6582

Mailing address

21131 Stoney Haven Dr
Katy, TX 77449-6582
Phone (225) 288-1995

Other practice location 1

1430 Grein Ave
Lake Charles, LA 70601-4842
Phone (225) 288-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001152 TX Practitioner - Qualified Speech Language Pathologist 8527469543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6251LAMDSpeech-Language Pathologist
106821TXMDSpeech-Language Pathologist

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1962796938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21131 STONEY HAVEN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496582",
            "telephone_number": "225-288-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21131 STONEY HAVEN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496582",
            "telephone_number": "225-288-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Grein Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706014842",
            "country_code": "US",
            "telephone_number": "225-288-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MABLE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6251",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.