Ascension Collective Services

Organization Active NPI Speech-Language Pathologist · Ladson, SC

NPI 1013475680 · NPPES record last updated Nov 1, 2022

Key facts

NPI
1013475680
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
ASCENSION COLLECTIVE SERVICES
Practice address
125 Towering Pine Dr
Ladson, SC 29456-3701
Phone
(228) 239-0522
NPI assigned
Mar 3, 2019
Organization subpart
No

Authorized official

Name
Amber Banks NPI 1548680549
Title
Speech Language Pathologist
Phone
(228) 239-0522

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

125 Towering Pine Dr
Ladson, SC 29456-3701

Mailing address

125 Towering Pine Dr
Ladson, SC 29456-3701
Phone (228) 239-0522

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2022.

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1013475680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWERING PINE DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563701",
            "telephone_number": "228-239-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWERING PINE DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563701",
            "telephone_number": "228-239-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION COLLECTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-03",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "228-239-0522"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

All providers in Ladson, SC · Speech-Language Pathologist in South Carolina

Sources for this page

Verify at the official NPI Registry.