Courtney Alexandra Chacon, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4098 Issued in KS

Practice address

616 Vermont St Ste B
Lawrence, KS 66044-2221

Phone

(785) 550-7481

Fax

(785) 274-8179

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

University of Kansas School of Med (KC/Wich/Sal), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speech Solutions LLCGroup PAC ID 5395182752, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Speech Solutions, LLC

  • Speech-Language Pathologist
  • Lawrence, KS
  • NPI 1265024509
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1114756913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N WREN DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494694",
            "telephone_number": "620-966-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 VERMONT ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442221",
            "telephone_number": "785-550-7481",
            "fax_number": "785-274-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "COURTNEY",
        "middle_name": "ALEXANDRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celsus LLC
• Center for Change - Lawrence LLC
• Centre for Autism Training and Therapeutic Services, LLC
• Ceu Solutions, Inc (Envision Therapy)
• Greta Ford Chaar, DNP
• Sheila Chaffee
• Katrina T Chagollan
• Nicholas Chamberlain, DDS
• Breah Chambers, APRN
• Misty R Chambers, PA-C

• Speech-Language Pathologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.