Organization Active NPI

Strategic Skills Speech Therapy LLC

  • Speech-Language Pathologist
  • Cockeysville, MD
National Provider Identifier
1073210589
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STRATEGIC SKILLS SPEECH THERAPY LLC
Practice address
1508 Heather Hill LN
Cockeysville, MD 21030-1631
Phone
(443) 642-0379
NPI assigned
Feb 14, 2023
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Nichole Lea Edmond
Title
Speech Pathologist
Phone
(443) 642-0379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1508 Heather Hill LN
Cockeysville, MD 21030-1631

Mailing address

1810 York Rd Ste 190
Lutherville Timonium, MD 21093-5165

National Provider Directory

National Provider Directory

Locations

1810 York Rd
Ste 190
Lutherville Timonium, MD 21093

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1073210589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 YORK RD STE 190",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HEATHER HILL LN",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301631",
            "telephone_number": "443-642-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC SKILLS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "EDMOND",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "443-642-0379"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.