Organization Active NPI

Let's Talk Therapy LLC

  • Speech-Language Pathologist
  • Harrisburg, AR
National Provider Identifier
1235460437
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#1873 Issued in AR
Legal business name
LET'S TALK THERAPY LLC
Practice address
19251 Greenfield Rd
Harrisburg, AR 72432-9398
Phone
(870) 578-6118
Fax
(870) 578-6118
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mrs. Stacy Beth Sample, MCD CCC-SLP
Title
Owner
Phone
(870) 578-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1873 AR Primary

Addresses

Primary practice location

19251 Greenfield Rd
Harrisburg, AR 72432-9398

Mailing address

19251 Greenfield Rd
Harrisburg, AR 72432-9398
Phone (870) 578-6118

Other identifiers 1

IdentifierTypeStateIssuer
180004742MedicaidAR

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1235460437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 GREENFIELD RD",
            "city": "HARRISBURG",
            "state": "AR",
            "postal_code": "724329398",
            "telephone_number": "870-578-6118",
            "fax_number": "870-578-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 GREENFIELD RD",
            "city": "HARRISBURG",
            "state": "AR",
            "postal_code": "724329398",
            "telephone_number": "870-578-6118",
            "fax_number": "870-578-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S TALK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-578-6118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180004742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.