Active NPI
Brenda Joy Haaksma, M.A., CCC-SLP
- Speech-Language Pathologist
- Trabuco Canyon, CA
National Provider Identifier
1285857227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01109430
- Practice address
- 19501 Misty Ridge LN
Trabuco Canyon, CA 92679-1602 - Phone
- (616) 745-8308
- NPI assigned
- Apr 10, 2007
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01109430 | MI | Primary |
| Speech-Language Pathologist | 235Z00000X | 33135 | CA | |
| Speech-Language Pathologist | 235Z00000X | SLP.0000730 | CO |
Addresses
Primary practice location
19501 Misty Ridge LN
Trabuco Canyon, CA 92679-1602
Mailing address
19501 Misty Ridge LN
Trabuco Canyon, CA 92679-1602
Phone (616) 745-8308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99556502 | Medicaid | CO |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0000730 | CO | MD | Speech-Language Pathologist |
| 01109430 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Boundaries Remote Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Haaksma Speech Pathology, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Haaksma Speech Pathology Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba No Boundaries Remote Solutions
- Speech-Language Pathologist
- Grand Rapids, MI
- NPI 1033817309
-
- Physical Therapist
- Aurora, CO
- NPI 1891199089
Speech-Language Pathologist
-
- Home Health Agency
- Aurora, CO
- NPI 1376876748
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1285857227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19501 MISTY RIDGE LN",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926791602",
"telephone_number": "616-745-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19501 MISTY RIDGE LN",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926791602",
"telephone_number": "616-745-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAKSMA",
"first_name": "BRENDA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "01109430",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "33135",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0000730",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99556502",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trabuco Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.