NPIMap

Organization Active NPI

Benoliel Speech and Language, PLLC

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1033645338
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002709 Issued in WA
Legal business name
BENOLIEL SPEECH AND LANGUAGE, PLLC
Practice address
2820 Northup Way Ste 120
Bellevue, WA 98004-1419
Phone
(425) 803-8050
Fax
(425) 732-7656
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Jennifer Benoliel, M.S., CCC-SLPNPI 1043276751
Title
Owner/Manager
Phone
(425) 803-8050

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X LL00002709 WA Primary

Addresses

Primary practice location

2820 Northup Way Ste 120
Bellevue, WA 98004-1419

Mailing address

2820 Northup Way Ste 120
Bellevue, WA 98004-1419
Phone (425) 803-8050

National Provider Directory

National Provider Directory

Locations

2820 Northup Way
Ste 120
Bellevue, WA 98004
Phone (425) 803-8050

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1033645338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-803-8050",
            "fax_number": "425-732-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-803-8050",
            "fax_number": "425-732-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENOLIEL SPEECH AND LANGUAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "BENOLIEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "425-803-8050",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.