Active NPI
Julia Pena-Gonzalez, M.S., CCC-SLP, PLLC
- Speech-Language Pathologist
- Rio Grande City, TX
National Provider Identifier
1992278303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- JULIA PENA-GONZALEZ, M.S., CCC-SLP, PLLC
- Practice address
- 410 W 2ND St
Rio Grande City, TX 78582-3608 - Phone
- (956) 735-5058
- Fax
- (956) 486-2675
- NPI assigned
- Jan 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Pena-Gonzalez, M.S., CCC-SLP
- Title
- Sole Member
- Phone
- (956) 486-2675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
410 W 2ND St
Rio Grande City, TX 78582-3608
Mailing address
3513 Catclaw Dr
Rio Grande City, TX 78582-4836
Phone (956) 735-5058
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108391 | Medicaid | TX | |
| 528705 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1528382322 | Other | INDIVIDUAL NPI | |
| 85503 | Other | TX | OPTUMHEALTH, INC |
Other names 3
- Speech Therapy Works
- Speech Works
- Speech Works Therapy Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Rio Grande City, TX
- NPI 1528382322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546905600000",
"number": "1992278303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 CATCLAW DR",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785824836",
"telephone_number": "956-735-5058",
"fax_number": "946-486-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 2ND ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785823608",
"telephone_number": "956-735-5058",
"fax_number": "956-486-2675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIA PENA-GONZALEZ, M.S., CCC-SLP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A",
"authorized_official_last_name": "PENA-GONZALEZ",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "956-486-2675",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108391",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "528705",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1528382322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUMHEALTH, INC",
"identifier": "85503",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Speech Therapy Works",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Speech Works",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Speech Works Therapy Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.