Active NPI
Chelsea Michelle Carter
- Speech-Language Pathologist
- Yorktown, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011674
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202011674 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients | |
| Sunflower Therapy Services, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Jacqueline Kozak | Current | Accepting new patients | |
| Allied Therapies of Texas, PLLC | Past | 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.
-
- Speech-Language Pathologist
- Temple, TX
- NPI 1932809282
-
- Occupational Medicine Clinic/Center
- Georgetown, TX
- NPI 1699482448
-
- Multi-Specialty Clinic/Center
- Copperas Cove, TX
- NPI 1164009254
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.