Active NPI
Janet L Barsoumian, M.S., CCC-SLP
- Speech-Language Pathologist
- Camarillo, CA
National Provider Identifier
1194021295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP17654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210118000296 | CA | Practitioner - Qualified Speech Language Pathologist | 4880007681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17654 | CA | MD | Professional Counselor |
| SP17654 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A1 Speech Therapy, Inc. | Current | 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.
-
- Hearing and Speech Clinic/Center
- Camarillo, CA
- NPI 1033415138
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.