Individual provider Active NPI

Chelsea Michelle Carter

  • Speech-Language Pathologist
  • Yorktown, VA
National Provider Identifier
1003426404
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202011674 Issued in VA
Practice address
307 Patriot Way
Yorktown, VA 23693-4640
Phone
(757) 870-5637
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 116782 TX
Speech-Language Pathologist 235Z00000X 2202011674 VA Primary

Addresses

Primary practice location

307 Patriot Way
Yorktown, VA 23693-4640

Mailing address

307 Patriot Way
Yorktown, VA 23693-4640
Phone (757) 870-5637

Other practice location 1

2424 Double Churches Rd
Columbus, GA 31909-2741
Phone (706) 324-6112

Other practice location 2

4402 Williams Dr Ste 115
Georgetown, TX 78628-1388
Phone (512) 256-7627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416002197 VA Practitioner - Qualified Speech Language Pathologist 9638567019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202011674VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JP Therapy, LLC CurrentSince Feb 13, 2025 Accepting new patients
Sunflower Therapy Services, P.C. Speech-Language Pathologist Current Accepting new patients
Jacqueline Kozak CurrentSince Nov 6, 2022 Accepting new patients
Allied Therapies of Texas, PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

4402 Williams Dr
Ste 115
Georgetown, TX 78628
Phone (512) 256-7627

5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462

Organizations & group practices 4

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1003426404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PATRIOT WAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934640",
            "telephone_number": "757-870-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PATRIOT WAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934640",
            "telephone_number": "757-870-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 Double Churches Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319092741",
            "country_code": "US",
            "telephone_number": "706-324-6112",
            "fax_number": "706-596-8259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4402 Williams Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786281388",
            "country_code": "US",
            "telephone_number": "512-256-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHELSEA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116782",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202011674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.