New Beginnings | NB1-Office

Patient Name: Felix

Patient Information:

Patient ID: 9790

Patient First Name: Felix

Patient Date of Birth: 06-28-2021

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Florence, Nwofor

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Chacon, Victoria

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22944	Active	01-05-2026	07-03-2026	Preferred Administrators - UMC	52	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25964	11-24-2025	Speech Initial Evaluation	F80.0, F80.81
Speech Background History: Felix is a 4-year, 4-month-old male who was seen on the above date for an initial evaluation per referral of his primary care provider to determine his current level of functioning and whether skilled speech-language intervention is warranted at this time. He has a medical diagnosis of Developmental Disorder of Speech and Language, Unspecified (ICD-10: F80.9). Felix lives with his family, and the primary languages spoken in the home are English. Due to the home language environment, all testing was conducted in English by a bilingual Speech-Language Pathologist. There is a family history of language delay in his twin sisters, which was associated with prematurity. If Felix is deemed appropriate for skilled speech and language intervention, it is recommended that therapy be conducted in English. Felix was accompanied to the initial evaluation by his father, who provided written and oral information referenced in this report.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command without cues, Maintains topic, Speech acts performed appropriately, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Problems with organization and relevance, Unintelligible,
Speech Background Summary:
Speech Diagnosis/Impressions: Felix is a 4-year, 4- month old male presenting with a MILD fluency disorder and a MILD articulation/phonological disorder (ICD-10 Codes: F80.81 and F80.0). Receptive and expressive language skills are within normal limits based on standardized testing and skilled clinical observation; however, Felix’s speech sound and fluency impairments significantly impact his ability to communicate clearly and efficiently during spontaneous speech. Felix demonstrates reduced speech intelligibility and fluency breakdowns during conversational speech, particularly with increased utterance length and natural speaking rate. These communication breakdowns require repetition and clarification by communication partners and may interfere with Felix’s ability to effectively communicate needs, respond in a timely manner, and participate safely and appropriately in daily activities and social interactions. Inconsistent speech clarity and fluency disruptions may place Felix at risk for misunderstanding in situations that require clear verbal communication, including communicating needs, following routines, and engaging with peers and unfamiliar listeners. Clinical observation and standardized assessment findings reveal persistent speech sound errors, non-developmental phonological processes, and mild but variable disfluencies characterized by sound, word, and phrase repetitions with occasional blocks and prolongations. Although severity is classified as mild, these deficits are functionally significant and cannot be adequately remediated through a home program alone. Skilled speech-language intervention is medically necessary to improve speech intelligibility, fluency control, and overall communication effectiveness, as reduced speech clarity may compromise Felix’s ability to be understood by unfamiliar listeners and clearly express immediate needs, including during emergency or time-sensitive situations, in addition to impacting social participation and age-appropriate communication development.
Speech Diagnosis/Impressions: Felix is a 4-year, 4- month old male presenting with a MILD fluency disorder and a MILD articulation/phonological disorder (ICD-10 Codes: F80.81 and F80.0). Receptive and expressive language skills are within normal limits based on standardized testing and skilled clinical observation; however, Felix’s speech sound and fluency impairments significantly impact his ability to communicate clearly and efficiently during spontaneous speech. Felix demonstrates reduced speech intelligibility and fluency breakdowns during conversational speech, particularly with increased utterance length and natural speaking rate. These communication breakdowns require repetition and clarification by communication partners and may interfere with Felix’s ability to effectively communicate needs, respond in a timely manner, and participate safely and appropriately in daily activities and social interactions. Inconsistent speech clarity and fluency disruptions may place Felix at risk for misunderstanding in situations that require clear verbal communication, including communicating needs, following routines, and engaging with peers and unfamiliar listeners. Clinical observation and standardized assessment findings reveal persistent speech sound errors, non-developmental phonological processes, and mild but variable disfluencies characterized by sound, word, and phrase repetitions with occasional blocks and prolongations. Although severity is classified as mild, these deficits are functionally significant and cannot be adequately remediated through a home program alone. Skilled speech-language intervention is medically necessary to improve speech intelligibility, fluency control, and overall communication effectiveness, as reduced speech clarity may compromise Felix’s ability to be understood by unfamiliar listeners and clearly express immediate needs, including during emergency or time-sensitive situations, in addition to impacting social participation and age-appropriate communication development.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

57659

Plan Date: 11-24-2025

Speech Assessment Summary: Felix is a 4-year, 4- month old male presenting with a MILD fluency disorder and a MILD articulation/phonological disorder (ICD-10 Codes: F80.81 and F80.0). Receptive and expressive language skills are within normal limits based on standardized testing and skilled clinical observation; however, Felix’s speech sound and fluency impairments significantly impact his ability to communicate clearly and efficiently during spontaneous speech. Felix demonstrates reduced speech intelligibility and fluency breakdowns during conversational speech, particularly with increased utterance length and natural speaking rate. These communication breakdowns require repetition and clarification by communication partners and may interfere with Felix’s ability to effectively communicate needs, respond in a timely manner, and participate safely and appropriately in daily activities and social interactions. Inconsistent speech clarity and fluency disruptions may place Felix at risk for misunderstanding in situations that require clear verbal communication, including communicating needs, following routines, and engaging with peers and unfamiliar listeners. Clinical observation and standardized assessment findings reveal persistent speech sound errors, non-developmental phonological processes, and mild but variable disfluencies characterized by sound, word, and phrase repetitions with occasional blocks and prolongations. Although severity is classified as mild, these deficits are functionally significant and cannot be adequately remediated through a home program alone. Skilled speech-language intervention is medically necessary to improve speech intelligibility, fluency control, and overall communication effectiveness, as reduced speech clarity may compromise Felix’s ability to be understood by unfamiliar listeners and clearly express immediate needs, including during emergency or time-sensitive situations, in addition to impacting social participation and age-appropriate communication development.

Speech Rehabilitation Potential: Excellent. with consistent Speech Therapy and parental support

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Oral Motor/Articulation	Within 12 months, Felix will utilize age-appropriate articulation/phonological skills in 8 out 10 trials, in order to increase intelligibility when communicating and relaying information to family, caregivers, and peers.
Fluency	Within 12 months, Felix will demonstrate developmentally appropriate fluency during spontaneous conversational speech across settings in 9 out of 10 opportunities with at least 80% accuracy, as measured by clinician observation and data collection.

Speech and Language Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	Within 6 months, Felix will demonstrate auditory discrimination of velar fronting in words with 50% accuracy with minimal multimodal cues across 3 consecutive sessions, to improve overall phonological awareness and speech intelligibility to facilitate communication in social and/or emergency situations.
Oral Motor/Articulation	Within 6 months, Felix will produce the target phonemes: /g, k/ in initial position at the syllable AND/OR word level with 50% accuracy with moderate multimodal cues across 3 consecutive sessions in order to promote independence and safety by being understood by others to facilitate communication in social and/or emergency situations.
Fluency	Within 6 months, Felix will increase awareness of dysfluent versus fluent (“bumpy vs. smooth”) speech by identifying moments of dysfluency in himself and others during structured tasks with 50% accuracy with minimal multimodal cues across 3 consecutive sessions to facilitate communication in social and/or emergency situations.
Fluency	Within 6 months, Felix will demonstrate use of fluency enhancing techniques (e.g., slow rate, easy speech, relaxed breath) during structured and unstructured speaking tasks with 50% accuracy with moderate multimodal cues across 3 consecutive sessions o increase speech fluency and intelligibility with familiar and unfamiliar listeners to facilitate communication in social and/or emergency situations.
Fluency	Within 6 months, Felix will label and describe basic parts involved in producing fluent speech (e.g., breath support, voice/voice box, lips, tongue) during structured fluency tasks with 80% accuracy with minimal multimodal cues across 3 consecutive sessions to enhance awareness of speech mechanics and support implementation of fluency strategies.

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
837839	92523: Artic & Language Eval	11-24-2025 01:00 PM	11-24-2025 02:00 PM	Jazmin Lopez	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
862646	92507: Speech & Language Visit	01-05-2026 12:00 PM	01-05-2026 12:30 PM	Victoria Chacon	NB1 east side	Canceled
862684	92507: Speech & Language Visit	01-06-2026 02:00 PM	01-06-2026 02:30 PM	Victoria Chacon	NB1 east side	Canceled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
11/24/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	261.62	-261.62
11/27/25	Patient Payment Received (Stripe)	261.62	261.62	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
11/24/25	92523: Artic & Language Eval	1	345.00	Billed and Paid

Paient Notes:

Date	Posted By	Description
01-06-2026	Avery Fontenot	Called parent regarding their availability to be seen. Parent didnt answer. Left a message.
01-05-2026	Victoria Chacon	Mother responded to therapist regarding days and times for reoccurring speech sessions and stated, "Hello, it does not work for us. We have a busy schedule. Thank you". Mother was asked what days and times she prefers, however she has not responded. Front office was informed, and if there is no response by the end of the day, front office will call mother.
12-19-2025	Avery Fontenot	ST Auth starting 01/05/2026 to 07/03/2026 for 2x/wk = 52 visits. Pending therapist.
12-17-2025	Avery Fontenot	Submitted ST auth request to Preferred Administrators. Pending approval.
12-16-2025	Shekinah Velasquez	ST paperwork sent to DR. via fax and email
11-03-2025	Julie Mora	Preferred Administrators, ref# Alicia M 10/29/2025 9:34am. Deductible has not been met, fiscal year began on October 1st. Office visit $40.00, applies to deductible. Allowed amount prices: Initial eval $ 261.62, treatment $ 87.26, re-eval $ 43.20.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
01-06-2026	92507	Chacon, Victoria
01-05-2026	92507	Chacon, Victoria

Paient Messages Admin:

Date	Posted By	Message
10-07-2025 12:16 PM	Shekinah Velasquez	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2279
10-11-2025 08:23 AM	Shekinah Velasquez	Felix has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9790&type=1&wid=328
11-06-2025 04:01 PM	Avery Fontenot	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9790
11-13-2025 12:45 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-24-2025 07:30 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Felix Avila. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37584. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-25-2025 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Felix Avila from therapy on 11-24-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37584. Thank you for allowing us to serve your child! 🙂
11-25-2025 02:51 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-22-2025 09:20 AM	Shekinah Velasquez	Hi, Felix as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Victoria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9790&tid=99
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9790
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9790
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
11-06-2025 04:12 PM	Jazmin Lopez	Hi, my name is Jazmin, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9790&tid=35
11-06-2025 04:12 PM	Felix Avila	Felix SCHEDULED: 1:00PM-11/24/2025 92523: Speech Evaluation
11-23-2025 06:30 PM	Jazmin Lopez	Hi, this is a just a reminder that Felix has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-24-2025 07:46 AM	Jazmin Lopez	Hi, this is a just a reminder that Felix has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-24-2025 12:45 PM	Jazmin Lopez	Felix Avila : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837839
11-24-2025 01:04 PM	Felix Avila	Felix is CHECKED IN for: 1:00PM-11/24/2025 92523: Artic & Language Eval
12-27-2025 01:20 PM	Victoria Chacon	Good afternoon Mrs. Avila! I hope you had a very Merry Christmas! My name is Tori, and I'm a speech language pathologist from New Beginnings. I will be seeing Felix for his speech therapy. We can begin on the week we open back up after New Years, January 5th. He was recommended to be seen 2 times a week, so we will need to schedule him twice. I have Mondays at 12:00-12:30 pm available, and Tuesday from 2:00-2:30 pm, do those days and times work for you all? :)
01-04-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Avila, Felix has a Speech Therapy appointment on 01-05-2026 at 12:00 PM, and on 01-06-2026 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:06 PM	Felix Avila	Felix (Prim) Replied: No
01-04-2026 04:06 PM	Felix Avila	Felix (Prim) Replied: No
01-04-2026 04:06 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:06 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:11 PM	Victoria Chacon	Hi Mrs. Avila, the days and times offered for Felix’s speech therapy do not work for you?
01-04-2026 04:14 PM	Felix Avila	Felix (Prim) Replied: Hello, it does not work for us. We have a busy schedule. Thank you
01-04-2026 04:14 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:17 PM	Victoria Chacon	Victoria Chacon CANCELLED: 12:00PM-1/5/2026 92507: Speech & Language Visit
01-04-2026 04:17 PM	Victoria Chacon	Victoria Chacon CANCELLED: 2:00PM-1/6/2026 92507: Speech & Language Visit
01-05-2026 11:21 AM	Victoria Chacon	Good morning Mrs. Avila! Understandable. What days and times are you available from Monday through Thursday?