Organization Active NPI

Small Talk Speech and Language Center

  • Speech-Language Pathologist
  • Herrin, IL
National Provider Identifier
1083459275
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL TALK SPEECH AND LANGUAGE CENTER
Practice address
1120 S Park Ave Ste 2
Herrin, IL 62948-4134
Phone
(618) 515-5738
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Delaney Lynn Johnson, SLPNPI 1346828423
Title
Co-Owner, Therapist
Phone
(618) 579-6571

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1120 S Park Ave Ste 2
Herrin, IL 62948-4134

Mailing address

1120 S Park Ave Ste 2
Herrin, IL 62948-4134
Phone (618) 515-5738

National Provider Directory

National Provider Directory

Locations

1120 S Park Ave
Ste 2
Herrin, IL 62948
Phone (618) 515-5738

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1083459275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S PARK AVE STE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484134",
            "telephone_number": "618-515-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S PARK AVE STE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484134",
            "telephone_number": "618-515-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELANEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER, THERAPIST",
        "authorized_official_telephone_number": "618-579-6571",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.