Organization Active NPI

Stellar Minds Speech and Feeding Therapy LLC

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1225726078
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STELLAR MINDS SPEECH AND FEEDING THERAPY LLC
Practice address
650 Enterprise Blvd Apt 10202
Charleston, SC 29492-8555
Phone
(304) 376-2908
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Tess Halverson, MS CCC-SLPNPI 1518485861
Title
Owner/Speech Therapist
Phone
(304) 376-2908

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

650 Enterprise Blvd Apt 10202
Charleston, SC 29492-8555

Mailing address

650 Enterprise Blvd Apt 10202
Charleston, SC 29492-8555
Phone (304) 376-2908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1225726078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ENTERPRISE BLVD APT 10202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928555",
            "telephone_number": "304-376-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ENTERPRISE BLVD APT 10202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928555",
            "telephone_number": "304-376-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR MINDS SPEECH AND FEEDING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "304-376-2908",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.