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Jennifer Ann Vidana

Speech-Language Pathologist β€’ Conroe, TX

Active NPI 1164723342 Individual Practitioner Female Practitioner
Practice location in NPPES

704 Longmire Rd Ste 101
Conroe, TX 773041850

Call 9364411525 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

704 Longmire Rd Ste 101

Conroe, TX 773041850

Telephone 9364411525
Organization at the Same NPPES Address or Phone
Beyond Boundaries Therapy Center, Pllc Facility NPI 1710996335

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Conroe and Texas

89 active clinicians are listed under Speech-Language Pathologist with a practice address in Conroe, TX (17,078 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conroe

0% of these 89 clinicians have the CMS telehealth indicator.

3.4% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-02-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 115946

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 8816

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ TSLP6971

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 03, 2022

Registered at 704 LONGMIRE RD STE 101, CONROE, TX 773041850 (Tel: 9364411525)

πŸ“
Updated Business Mailing Address February 03, 2022

Registered at 704 LONGMIRE RD STE 101, CONROE, TX 773041850 (Tel: 9364411525)

πŸ‘€
Provider Name / Credentials Updated February 03, 2022

Recorded as JENNIFER VIDANA

βœ…
NPI Profile Active January 21, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 21, 2014

Registered at 2400 W 64TH ST, MINNEAPOLIS, MN 554231001 (Tel: 6128611688)

πŸ“
Business Mailing Address (Initial Record) January 21, 2014

Registered at 2400 W 64TH ST, MINNEAPOLIS, MN 554231001 (Tel: 6128611688)

πŸ‘€
Provider Name / Credentials (Initial Record) January 21, 2014

Recorded as JENNIFER SELCHOW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2014

Speech-Language Pathologist (license number reported to NPPES: MN 8816)

🟒
Initial NPI Registration & Enumeration November 04, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164723342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2010
Last Update: February 03, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Conroe

Healthcare providers in Conroe

Mailing Address

704 Longmire Rd Ste 101

Conroe, TX 773041850

Phone: 9364411525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.