Individual provider Active NPI

Simone Carol Olsberg, MS, CCC-SLP

  • Speech-Language Pathologist
  • Louisville, CO
National Provider Identifier
1245560267
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0000375 Issued in CO
Practice address
1027 Turnberry Cir
Louisville, CO 80027-9594
Phone
(303) 870-9302
Fax
(303) 433-1574
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0000375 CO Primary

Addresses

Primary practice location

1027 Turnberry Cir
Louisville, CO 80027-9594

Mailing address

7901 E Belleview Ave
#207
Englewood, CO 80111-6010
Phone (720) 202-5550

Other identifiers 1

IdentifierTypeStateIssuer
30576873MedicaidCO

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP0000375COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pediatric Therapies, P.C. Past Accepting new patients
Growwell Therapy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1245560267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E BELLEVIEW AVE",
            "address_2": "#207",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116010",
            "telephone_number": "720-202-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 TURNBERRY CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279594",
            "telephone_number": "303-870-9302",
            "fax_number": "303-433-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSBERG",
        "first_name": "SIMONE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP0000375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30576873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.