Organization Active NPI

Speechbliss Therapy, LLC

  • Speech-Language Pathologist
  • Great Falls, MT
National Provider Identifier
1053168104
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECHBLISS THERAPY, LLC
Practice address
4428 4TH Ave N
Great Falls, MT 59405-1401
Phone
(575) 404-9152
Fax
(877) 311-5440
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Colette Dominguez, SLPNPI 1376159558
Title
Owner
Phone
(575) 404-9152

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 Pathologist 235Z00000X Primary

Addresses

Primary practice location

4428 4TH Ave N
Great Falls, MT 59405-1401

Mailing address

4428 4TH Ave N
Great Falls, MT 59405-1401
Phone (575) 404-9152

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1053168104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051401",
            "telephone_number": "575-404-9152",
            "fax_number": "877-311-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051401",
            "telephone_number": "575-404-9152",
            "fax_number": "877-311-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHBLISS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-404-9152",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.