Active NPI
Stellar Minds Speech and Feeding Therapy LLC
- Speech-Language Pathologist
- Charleston, SC
National Provider Identifier
1225726078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tess Halverson, MS CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- North Charleston, SC
- NPI 1518485861
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.