Individual provider Active NPI

Chelsea Mode, MS, CCC-SLP

  • Speech-Language Pathologist
  • Arroyo Grande, CA
National Provider Identifier
1104740612
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41580 Issued in CA
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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41580 CA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.