Individual provider Active NPI

Janet L Barsoumian, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Camarillo, CA
National Provider Identifier
1194021295
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP17654 Issued in CA
Practice address
400 Camarillo Ranch Rd
Suite# 209
Camarillo, CA 93012-5901
Phone
(805) 443-0788
Fax
(805) 512-7158
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 SP17654 CA Primary

Addresses

Primary practice location

400 Camarillo Ranch Rd
Suite# 209
Camarillo, CA 93012-5901

Mailing address

400 Camarillo Ranch Rd
Suite# 209
Camarillo, CA 93012-5901
Phone (805) 443-0788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210118000296 CA Practitioner - Qualified Speech Language Pathologist 4880007681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17654CAMDProfessional Counselor
SP17654CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Speech Therapy, Inc. CurrentSince Jan 1, 2011 Accepting new patients

Locations

400 Camarillo Ranch Rd
Ste 209
Camarillo, CA 93012
Phone (805) 242-8255

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1194021295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD",
            "address_2": "SUITE# 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-443-0788",
            "fax_number": "805-512-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD",
            "address_2": "SUITE# 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-443-0788",
            "fax_number": "805-512-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUMIAN",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

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