Spencer Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SPENCER SPEECH THERAPY

Practice address

245 Winklers Creek Rd Ste C
Boone, NC 28607-7838

Phone

(828) 773-9195

Fax

(844) 906-2433

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Spencer Townsend Shuford, CCC-SLPNPI 1205496163

Title

Speech-Language Pathologist/Owner

Phone

(828) 773-9195

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 4

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

• Spencer Shuford

  • Speech-Language Pathologist
  • Boone, NC
  • NPI 1205496163
  NPD Authorized official
• Roderick Lee Smith Jr., CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
  • NPI 1003645045
  NPD
• Eliza Wiseman Freels, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
  • NPI 1477165645
  NPD (past)
• Hannah Moore, M.S. ED., CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
  • NPI 1245768555
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1093391385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "DEEP GAP",
            "state": "NC",
            "postal_code": "286180252",
            "telephone_number": "828-773-9195",
            "fax_number": "844-906-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINKLERS CREEK RD STE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077838",
            "telephone_number": "828-773-9195",
            "fax_number": "844-906-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "SHUFORD",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "TOWNSEND",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "828-773-9195",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE",
            "identifier": "1205496163",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "1205496163",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1205496163",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205496163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucyna Maria Sonek, LPC, LCAS
• Southmountain Children and Family Services
• Southmountain Children and Family Services
• Julia Paige Spangler, DPT
• Sparrow Mental Health Counseling, PLLC
• Robin T. Spicer, M.S., L.P.A.
• Elizabeth R. Squires, REGISTERED NURSE
• Wesley Scott St Clair, MD
• John N Stacy, RPH
• Sharon Kane Stafford, M.D.

• Hearing and Speech Clinic/Center in Boone, NC
• Providers in Boone, NC by specialty
• Hearing and Speech Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.