NPIMap

Organization Active NPI

Talkback, Inc.

  • Speech-Language Pathologist
  • Johnson City, TN
National Provider Identifier
1194900977
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3838 Issued in TN
Legal business name
TALKBACK, INC.
Practice address
302 Wesley St
Suite 8
Johnson City, TN 37601-1740
Phone
(423) 282-1700
NPI assigned
Dec 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Ashley Clark Morris, MSP, CCC/SLPNPI 1376517805
Title
President
Phone
(423) 282-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7804 TN
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2000 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3838 TN Primary

Addresses

Primary practice location

302 Wesley St
Suite 8
Johnson City, TN 37601-1740

Mailing address

302 Wesley St
Suite 8
Johnson City, TN 37601-1740
Phone (423) 282-1700

Other identifiers 2

IdentifierTypeStateIssuer
5442191MedicaidTN
7212179MedicaidNC

National Provider Directory

National Provider Directory

Locations

525 W Oakland Ave
Ste 205
Johnson City, TN 37604
Phone (423) 281-7002

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1194900977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST",
            "address_2": "SUITE 8",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011740",
            "telephone_number": "423-282-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST",
            "address_2": "SUITE 8",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011740",
            "telephone_number": "423-282-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALKBACK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-30",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-282-1700",
        "authorized_official_credential": "MSP, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7804",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5442191",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.