NPIMap

Organization Active NPI

Speechcenter LLC, D/B/a Sidekick Therapy Partners

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1306840251
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECHCENTER LLC, D/B/A SIDEKICK THERAPY PARTNERS
Practice address
210 Charlois Blvd
Winston Salem, NC 27103-1508
Phone
(336) 725-0222
Fax
(336) 725-0454
NPI assigned
Jun 9, 2005
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Ms. Janea Hodges
Title
Credentialing Lead
Phone
(336) 725-0222

Specialties & licenses 1

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

Addresses

Primary practice location

210 Charlois Blvd
Winston Salem, NC 27103-1508

Mailing address

210 Charlois Blvd
Winston Salem, NC 27103-1508
Phone (336) 725-0222

Other identifiers 2

IdentifierTypeStateIssuer
0272COtherNCBLUE CROSS BLUE SHIELD NC
740272CMedicaidNC

National Provider Directory

National Provider Directory

Locations

185 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 725-0222

210 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 725-0222

Practitioners & affiliated clinicians

Practitioners 228

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1306840251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031508",
            "telephone_number": "336-725-0222",
            "fax_number": "336-725-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031508",
            "telephone_number": "336-725-0222",
            "fax_number": "336-725-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHCENTER LLC, D/B/A SIDEKICK THERAPY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JANEA",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "336-725-0222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0272C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740272C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.