Active NPI
Chelsea Mode, MS, CCC-SLP
- Speech-Language Pathologist
- Arroyo Grande, CA
National Provider Identifier
1104740612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41580
- Practice address
- 602 Orchard Ave
Arroyo Grande, CA 93420-4000 - Phone
- (805) 474-3000
- NPI assigned
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41580 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
602 Orchard Ave
Arroyo Grande, CA 93420-4000
Mailing address
215 Beechnut St
Nipomo, CA 93444-5019
Other practice location 1
190 E Price St
Nipomo, CA 93444-9099
Phone (805) 474-3780 ext. 19
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2026.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1104740612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BEECHNUT ST",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934445019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 ORCHARD AVE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934204000",
"telephone_number": "805-474-3000"
}
],
"practiceLocations": [
{
"address_1": "190 E Price St",
"address_purpose": "LOCATION",
"city": "Nipomo",
"state": "CA",
"postal_code": "934449099",
"country_code": "US",
"telephone_number": "805-474-3780 x19",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODE",
"first_name": "CHELSEA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "41580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.