Individual provider Active NPI

Chelsea Lee Colip, CCC-SLP

  • Speech-Language Pathologist
  • Hattiesburg, MS
National Provider Identifier
1154725877
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3766 Issued in MS
Practice address
118 College Dr # 5215
Hattiesburg, MS 39406-0002
Phone
(601) 266-6378
Fax
(601) 266-6763
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 S3766 MS Primary

Addresses

Primary practice location

118 College Dr # 5215
Hattiesburg, MS 39406-0002

Mailing address

118 College Dr # 5215
Hattiesburg, MS 39406-0002
Phone (601) 266-6378

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

State licenses

LicenseStateTypeSpecialty
S3766MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Southern Mississippi Speech-Language Pathologist Past Accepting new patients

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1154725877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 5215",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060002",
            "telephone_number": "601-266-6378",
            "fax_number": "601-266-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 5215",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060002",
            "telephone_number": "601-266-6378",
            "fax_number": "601-266-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIP",
        "first_name": "CHELSEA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.