Janelle Libretto, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10363 Issued in NC

Practice address

58 Office Park Dr
Jacksonville, NC 28546-3218

Phone

(910) 353-2440

Fax

(910) 219-7727

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech 4 Kidz, Inc

  • Speech-Language Pathologist
  • Hampstead, NC
  • NPI 1275167975
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1083058960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "119",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-395-2995",
            "fax_number": "910-313-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463218",
            "telephone_number": "910-353-2440",
            "fax_number": "910-219-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRETTO",
        "first_name": "JANELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Rommel Libed
• Liberty Healthcare Group LLC (Liberty Home Care, LLC)
• Liberty Healthcare Group, LLC (Liberty Home Care, LLC)
• Liberty Healthcare Group, LLC (Liberty Commons Nursing and Rehabilitation Center of Onslow County, LL)
• Liberty Nursing Services, LLC (Liberty Nursing Services)
• Erik James Lickteig, PA
• Lifequest Disabilities Services
• Lifequest Disabilities Services, Inc
• Lifequest Disabilities Services, Inc.
• Light to My Path Therapeutic Services Inc.

• Speech-Language Pathologist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.