Individual provider Active NPI

Heather Stengel, MS, CCC-SLP

  • Speech-Language Pathologist
  • Casper, WY
National Provider Identifier
1164810396
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-630 Issued in WY
Practice address
915 S McKinley St
Casper, WY 82601-3440
Phone
(307) 265-2182
Fax
(307) 265-2183
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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 SP-630 WY Primary

Addresses

Primary practice location

915 S McKinley St
Casper, WY 82601-3440

Mailing address

915 S McKinley St
Casper, WY 82601-3440
Phone (307) 265-2182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203001795 WY Practitioner - Qualified Speech Language Pathologist 4981015575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Services Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

915 S McKinley St
Casper, WY 82601
Phone (307) 265-2182

333 S Beech St
Casper, WY 82601
Phone (307) 258-4546

550 N Poplar St
Ste 100B
Casper, WY 82601

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1164810396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S MCKINLEY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013440",
            "telephone_number": "307-265-2182",
            "fax_number": "307-265-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S MCKINLEY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013440",
            "telephone_number": "307-265-2182",
            "fax_number": "307-265-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "HEATHER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.