Brittany Booth, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.013826 Issued in IL

Practice address

2166 Harbortown Cir
Champaign, IL 61821-6481

Phone

(217) 994-1615

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1073176178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 HARBORTOWN CIR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216481",
            "telephone_number": "217-994-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 HARBORTOWN CIR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216481",
            "telephone_number": "217-994-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "BRITTANY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beh.speechthearpy@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Champaign County YMCA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2166 Harbortown Cir",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618216481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassidy Boma
• Crystal Bonano
• Brianna Bonifer
• Candyce Booker, LCSW
• Maribeth J Boonstra
• Melinda Zehner Borden, OTR/L
• Robert J Born, DPM
• Christine Borrmann
• Cathy L Borst, OTR/L, CHT
• Rebekah C Bosley, M.S. CCC-SLP

• Speech-Language Pathologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.