Emily Wolkenberg, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0005292 Issued in CO

Practice address

8415 Briar Trace Drive
Castle Pines, CO 80108

Phone

(812) 483-0394

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Bluebird Sky Therapy

  • Hearing and Speech Clinic/Center
  • Castle Pines, CO
  • NPI 1790561538
  Medicare reassignment Authorized official
• Bluebird Sky Therapy

  • Home Health Agency
  • Castle Pines, CO
  • NPI 1922824010

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1255012340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BRIAR TRACE DR",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801085517",
            "telephone_number": "812-483-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BRIAR TRACE DRIVE",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "812-483-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKENBERG",
        "first_name": "EMILY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Erica Roush Westphal, LMFT
• Karen Williams
• Maureen Williams
• Sara Williams, LPCC
• Wesam M Yassin
• Yuliya Rabinovich Dental PC
• Tashara Jakeiya Zitz

• Speech-Language Pathologist in Castle Pines, CO
• Providers in Castle Pines, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.