Individual provider Active NPI

Chelsea Chiarelli, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Smyrna, GA
National Provider Identifier
1124565916
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009268 Issued in GA
Practice address
1800 Lake Park Dr SE
Suite 102
Smyrna, GA 30080-7639
Phone
(770) 438-6928
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 SLP009268 GA Primary

Addresses

Primary practice location

1800 Lake Park Dr SE
Suite 102
Smyrna, GA 30080-7639

Mailing address

4700 W Village Xing SE
#5532
Smyrna, GA 30080-9273

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP009268GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckhead Speech Specialists, Inc. Speech-Language Pathologist Past Accepting new patients
First Words Speech Services, LLC Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1124565916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W VILLAGE XING SE",
            "address_2": "#5532",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LAKE PARK DR SE",
            "address_2": "SUITE 102",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807639",
            "telephone_number": "770-438-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARELLI",
        "first_name": "CHELSEA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.