Individual provider Active NPI

Lori Guild, MA CCC-SLP

  • Speech-Language Pathologist
  • Red Bank, NJ
National Provider Identifier
1154038941
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00488600 Issued in NJ
Practice address
4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155
Phone
(732) 639-1551
Fax
(732) 335-6759
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 41YS00488600 NJ Primary

Addresses

Primary practice location

4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155

Mailing address

4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155
Phone (732) 639-1551

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS00488600NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Birds Speech Therapy, LLC Speech-Language Pathologist CurrentSince Nov 6, 2022 Accepting new patients

Locations

4 Hendrickson Ave
Ste 4
Red Bank, NJ 07701
Phone (732) 440-8389

Organizations & group practices 1

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1154038941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILD",
        "first_name": "LORI",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00488600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.