NPIMap

Organization Active NPI

Kouka Kids Speech Therapy, LLC

  • Speech-Language Pathologist
  • Carmel, IN
National Provider Identifier
1124440003
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004115A Issued in IN
Legal business name
KOUKA KIDS SPEECH THERAPY, LLC
Practice address
4 Shady LN
Carmel, IN 46032-2050
Phone
(317) 460-2384
Fax
(317) 660-2151
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Kristin L Kouka, MA, CCC-SLP
Title
President
Phone
(317) 460-2384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 22004115A IN Primary

Addresses

Primary practice location

4 Shady LN
Carmel, IN 46032-2050

Mailing address

4 Shady LN
Carmel, IN 46032-2050

National Provider Directory

National Provider Directory

Locations

300 E Main St
Ste A
Carmel, IN 46032
Phone (317) 296-3838

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1124440003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHADY LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHADY LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322050",
            "telephone_number": "317-460-2384",
            "fax_number": "317-660-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUKA KIDS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "KOUKA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-460-2384",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004115A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.