Northern Colorado Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

NORTHERN COLORADO SPEECH THERAPY, LLC

Practice address

2547 11TH Ave
Greeley, CO 80631-1679

Phone

(970) 301-4206

Fax

(970) 330-3954

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Sara Louise Pofahl, MS

Title

Owner

Phone

(970) 301-4206

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northern Colorado Speech Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Colorado Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Greeley, CO
  • NPI 1265977714
  NPD tax ID
• Northern Colorado Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Loveland, CO
  • NPI 1730491978
  NPD tax ID

Locations

Practitioners 1

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

• Brittney Rose Sampedro

  • Speech-Language Assistant
  • Greeley, CO
  • NPI 1467045112
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1144955402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 212",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-301-4206",
            "fax_number": "970-330-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806311679",
            "telephone_number": "970-301-4206",
            "fax_number": "970-330-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "POFAHL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-301-4206",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000151501",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Range Behavioral Health
• North Range Behavioral Health
• North Range Behavioral Health
• North Range Behavioral Health
• Northern Colorado Periodontics
• Northern Colorado Speech Therapy, LLC
• Northland Hearing Center, Inc.
• Jade Northrop, M.A., L.P.C
• Byron E Norton
• Coreen Norwood, BACHELOR OF ARTS

• Hearing and Speech Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Hearing and Speech Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.