Bauer Stuttering & Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0001419 Issued in CO

Legal business name

BAUER STUTTERING & SPEECH THERAPY, LLC

Practice address

442 La Costa Lane
Johnstown, CO 80534

Phone

(970) 590-6206

Fax

(970) 587-6497

NPI assigned

May 5, 2014

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Bauer, M.A., CCC-SLPNPI 1558718288

Title

Owner

Phone

(970) 590-6206

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Bauer, MA, CCC-SLP

  • Speech-Language Pathologist
  • Johnstown, CO
  • NPI 1558718288
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1013327592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LA COSTA LANE",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "80534",
            "telephone_number": "970-590-6206",
            "fax_number": "970-587-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 LA COSTA LANE",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "80534",
            "telephone_number": "970-590-6206",
            "fax_number": "970-587-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER STUTTERING & SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-590-6206",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35631546",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Bauer, MA, CCC-SLP
• Megan Berch-Wegner
• Kanchan Bhowmik, PMHNP-BC
• Rebecca Marie Bierden, M.D.
• Bilingual Neuropsychological Services

• Speech-Language Pathologist in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.