Leah Danielle Kohl, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30239 Issued in CA

Practice address

24600 Silver Cloud CT Ste 104
Monterey, CA 93940-6555

Phone

(302) 690-4644

NPI assigned

Jun 12, 2017

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Leah Danielle Deraoui Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Central Coast Language and Learning CenterGroup PAC ID 4183910284, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Coast Language and Learning Center

  • Early Intervention Provider Agency
  • Monterey, CA
  • NPI 1356589022
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1164951240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 SILVER CLOUD CT STE 104",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406555",
            "telephone_number": "302-690-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 SILVER CLOUD CT STE 104",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406555",
            "telephone_number": "302-690-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "LEAH",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "DERAOUI",
            "middle_name": "DANIELLE",
            "prefix": "MRS.",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lenora Justine Knudson, CRNA
• Parker Knueppel, PHARMD, BCPS
• James Kocher
• Karissa Rae Koessel, PHARMD
• Mitsuyo Kohama, M.D.
• Peter Koinange
• Steffenie Ann Kolander, PT, DPT
• David M Kolinsky, MD
• Diana Kolman, NP
• Deborah Michelle Kolton

• Speech-Language Pathologist in Monterey, CA
• Providers in Monterey, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.