Adult Speech Therapy Services LLC
Organization Active NPI Speech-Language Pathologist · Ashton, MD
NPI 1063979664 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1063979664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- ADULT SPEECH THERAPY SERVICES LLC
- Practice address
- 17830 New Hampshire Ave Ste 300
Ashton, MD 20861-3644 - Phone
- (301) 323-8486
- Fax
- (240) 422-8283
- NPI assigned
- Mar 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Jessica G Parker, M.A., CCC-SLP
- Title
- Speech-Language Pathologist/Owner
- Phone
- (301) 323-8486
Practitioners 5
-
Sandra Lancaster, SLP
-
Jessica G Parker, SLP
-
Melissa McCarthy, M.S. CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190611002380 | DC | Part B Supplier - Clinic/Group Practice | 4082947718 |
Receives reassigned benefits from 5 practitioners Practice locations: Ashton, MD |
National Provider Directory
Locations
17830 New Hampshire Ave
Ste 300
Ashton, MD 20861
Phone (301) 323-8486
3423 Olney Laytonsville Rd
Ste 1
Olney, MD 20832
Phone (301) 570-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
17830 New Hampshire Ave Ste 300
Ashton, MD 20861-3644
Mailing address
17725 Tree Lawn Dr
Ashton, MD 20861-3342
Phone (301) 323-8486
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212044500 | Medicaid | MD |
Other names
- Adult Speech Therapy Services
Other providers in Ashton, MD
- Biam Adadevoh
- Vincent Paleracio Ang
- Cynthia Marie Canner
- Centrepointe Counseling, Inc.
- Calvin Chang
- Asima S. Cheema
All providers in Ashton, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.