Godbolt Consultants, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8524 Issued in NC

Legal business name

GODBOLT CONSULTANTS, INC.

Doing business as

Walk 2 Talk

Practice address

9657 Cayon CT NW
Concord, NC 28027-3616

Phone

(516) 521-2955

Fax

(336) 464-2188

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Kenyatt Motti Godbolt, MS, CCC-SLP

Title

President/Owner

Phone

(516) 521-2955

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walk 2 Talk Doing business as

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1265866263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9657 CAYON CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9657 CAYON CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273616",
            "telephone_number": "516-521-2955",
            "fax_number": "336-464-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODBOLT CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "GODBOLT",
        "authorized_official_first_name": "KENYATT",
        "authorized_official_middle_name": "MOTTI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-521-2955",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200555",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk 2 Talk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlen Glockner
• Amber Medlin Glover, LCSWA, LCAS
• Shana Renee Glover, RN
• Charis Su-Hsieh GN, MD
• Go Medical Supply, Inc
• Godel & Associates II PLLC
• April L Godfrey, MSW, LCSWA
• Faith Johnson Godwin, LCMHCA
• William K Goglin Jr., MD
• Dijon Goins, LCMHCA

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.