Active NPI
Clear Talk Speech Therapy LLC
- Speech-Language Pathologist
- Twin Falls, ID
National Provider Identifier
1184136798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1643
- Legal business name
- CLEAR TALK SPEECH THERAPY LLC
- Practice address
- 3231 Spring Creek Dr
Twin Falls, ID 83301-8437 - Phone
- (208) 320-5686
- NPI assigned
- Nov 4, 2017
- Last updated
- Nov 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ezekiel Hans Kelsey
- Title
- Speech-Language Pathologist
- Phone
- (208) 320-5686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1643 | ID | Primary |
Addresses
Primary practice location
3231 Spring Creek Dr
Twin Falls, ID 83301-8437
Mailing address
3231 Spring Creek Dr
Twin Falls, ID 83301-8437
Phone (208) 320-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861686032 | Medicaid | ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Twin Falls, ID
- NPI 1861686032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509753600000",
"number": "1184136798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 SPRING CREEK DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018437",
"telephone_number": "208-320-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 SPRING CREEK DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018437",
"telephone_number": "208-320-5686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR TALK SPEECH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-04",
"last_updated": "2017-11-04",
"status": "A",
"authorized_official_last_name": "KELSEY",
"authorized_official_first_name": "EZEKIEL",
"authorized_official_middle_name": "HANS",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "208-320-5686",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861686032",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
- Paul Kenneth Clark III, D.M.D, M.D.
- Peter Boyce Clark
- Rand J. Clark, P.T.
- Timothy Ross Clark, PTA
- Clear Source Therapy and Clinical Resource Center LLC (Clear Talk Speech Therapy LLC)
- Clearcheck Holdings LLC (Alpine Alternatives)
- Clearcheck Recovery LLC
- Clearwater Care Center, Inc.
- Clearwater Care Center, Inc.
- Clearwater Care Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.