Individual provider Active NPI

Bethany Morgado, CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1225851587
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012349 Issued in GA
Practice address
690 Miami Cir NE Ste 680
Atlanta, GA 30324-3015
Phone
(770) 302-6902
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18.006777 CT
Speech-Language Pathologist 235Z00000X SLP012349 GA Primary

Addresses

Primary practice location

690 Miami Cir NE Ste 680
Atlanta, GA 30324-3015

Mailing address

339 Angier Ave NE Apt 1
Atlanta, GA 30312-1005
Phone (719) 963-6849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18.006777CTMDSpeech-Language Pathologist
SLP012349GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Speech & Language Therapy, LLC Speech-Language Pathologist PastSince Nov 10, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1225851587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 ANGIER AVE NE APT 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121005",
            "telephone_number": "719-963-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MIAMI CIR NE STE 680",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243015",
            "telephone_number": "770-302-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGADO",
        "first_name": "BETHANY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "18.006777",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.