Individual provider Active NPI

Cassandra Carol Tenney, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Canal Winchester, OH
National Provider Identifier
1053029520
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14480240 Issued in OH
Practice address
6355 Winchester Blvd
Canal Winchester, OH 43110-2068
Phone
(614) 834-1114
Fax
(614) 987-8643
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14480240 OH Primary

Addresses

Primary practice location

6355 Winchester Blvd
Canal Winchester, OH 43110-2068

Mailing address

2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (614) 834-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14480240OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Learning Spectrum, LLC Speech-Language Pathologist CurrentSince Feb 18, 2024 Accepting new patients

Locations

2 Village Sq
Ste 210
Baltimore, MD 21210

6355 Winchester Blvd
Canal Winchester, OH 43110
Phone (614) 834-1114

6660 Doubletree Ave
Columbus, OH 43229
Phone (614) 844-5433

3060 Johnstown Utica Rd
Johnstown, OH 43031
Phone (740) 759-7059

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053029520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "614-834-1114",
            "fax_number": "614-987-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WINCHESTER BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102068",
            "telephone_number": "614-834-1114",
            "fax_number": "614-987-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNEY",
        "first_name": "CASSANDRA",
        "middle_name": "CAROL",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "14480240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.