Individual provider Active NPI

Julia Agin, MS, CCC-SLP

  • Speech-Language Pathologist
  • Castle Rock, CO
National Provider Identifier
1093407165
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012573 Issued in GA
Practice address
2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone
(720) 788-7365
Fax
(720) 294-0284
NPI assigned
May 25, 2023
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP012573 GA Primary

Addresses

Primary practice location

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885

Mailing address

4490 Brumby LN
Cumming, GA 30041-1929
Phone (770) 363-4246

Other names 1

  • Julia Siegel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918001405 CO Practitioner - Qualified Speech Language Pathologist 7113381617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castle Rock Therapies, LLCGroup PAC ID 3971903477, 29 clinicians

Practice addresses (Care Compare)

4700 Castleton Way
Suite 300
Castle Rock, CO 80109-7807
Phone (720) 788-7365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP012573GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Speech-Language Pathologist CurrentSince Oct 1, 2023 Accepting new patients
Castle Rock Therapies, LLC Speech-Language Pathologist PastSince Oct 1, 2023 Accepting new patients

Locations

2 Oakwood Park Plz
Ste 200
Castle Rock, CO 80104
Phone (720) 788-7365

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

12919 Stroh Ranch Ct
Unit F
Parker, CO 80134
Phone (303) 841-7737

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1093407165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 BRUMBY LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411929",
            "telephone_number": "770-363-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "JULIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SIEGEL",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.