Individual provider Active NPI

Erin Bass Petty, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1295347094
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2072 Issued in WV
Practice address
1123 8TH St
Huntington, WV 25701-3401
Phone
(720) 621-7512
NPI assigned
Aug 21, 2020
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.13049 OH
Speech-Language Pathologist 235Z00000X SP-2072 WV Primary

Addresses

Primary practice location

1123 8TH St
Huntington, WV 25701-3401

Mailing address

1123 8TH St
Huntington, WV 25701-3401
Phone (720) 621-7512

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin@voisstherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617000838 WV Practitioner - Qualified Speech Language Pathologist 1557740719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-2072WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc Single Specialty PastSince Aug 1, 2023 Accepting new patients

Locations

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

Interoperability endpoints

  • Direct secure messaging: erin@voisstherapy.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1295347094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 8TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013401",
            "telephone_number": "720-621-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 8TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013401",
            "telephone_number": "720-621-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "ERIN",
        "middle_name": "BASS",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13049",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SP-2072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin@voisstherapy.com",
            "affiliation": "N",
            "endpointDescription": "erin@voisstherapy.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1123 8th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.