NPIMap

Organization Active NPI

Connect Speech Therapy LLC

  • Speech-Language Pathologist
  • Sheridan, WY
National Provider Identifier
1144818964
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CONNECT SPEECH THERAPY LLC
Practice address
1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132
Phone
(307) 429-0837
NPI assigned
Jan 7, 2021
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Chelsea Paulus, MS, CCC-SLPNPI 1356902084
Title
Owner
Phone
(307) 429-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132

Mailing address

13 Chukkar LN
Sheridan, WY 82801-9506
Phone (307) 751-3016

Other practice location 1

13 Chukkar Ln
Sheridan, WY 82801-9506
Phone (307) 429-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230000911 WY Part B Supplier - Clinic/Group Practice 1355732348 Receives reassigned benefits from 4 practitioners
Practice locations: Lander, WY; Sheridan, WY

National Provider Directory

National Provider Directory

Locations

535 E Main St
Ste F
Lander, WY 82520
Phone (307) 429-0837

1981 Double Eagle Dr
Ste A
Sheridan, WY 82801
Phone (307) 751-3076

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1144818964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CHUKKAR LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019506",
            "telephone_number": "307-751-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 DOUBLE EAGLE DR STE A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012132",
            "telephone_number": "307-429-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Chukkar Ln",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828019506",
            "country_code": "US",
            "telephone_number": "307-429-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECT SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-429-0837",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.