Destiny Marie Kunkel, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLO12338 Issued in PA

Practice address

224 Bedford St
Hollidaysburg, PA 16648-1716

Phone

(814) 977-5345

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Destiny Marie Roehrig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Journey Center

  • Community/Behavioral Health Agency
  • Hollidaysburg, PA
  • NPI 1003291725
  NPD (past)
• Journey Center

  • Behavior Analyst
  • Hollidaysburg, PA
  • NPI 1316367527
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1043703986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W WHITEHALL RD",
            "city": "PA FURNACE",
            "state": "PA",
            "postal_code": "168659553",
            "telephone_number": "412-983-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BEDFORD ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481716",
            "telephone_number": "814-977-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "DESTINY",
        "middle_name": "MARIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLO12338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SLO12338",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "ROEHRIG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci Krider, LPC
• Joseph Krilich, PT
• Melinda Krimmel
• Autumn Leigh Kruise, PTA
• Jeevith Isveriya Kumaresan, M.D
• Raegan Lecrone, RDN, LDN
• Natalie Leontiev, D.O.
• Maria Kirsten Leslie Thomas, MFT
• Lexington Surgical Associates Inc (Southern Alleghenies Elite Orthopedics)
• Samantha Link

• Speech-Language Pathologist in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.