NPIMap

Organization Active NPI

Linguistic Impressions Therapeutic Services, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1316175375
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006095 Issued in GA
Legal business name
LINGUISTIC IMPRESSIONS THERAPEUTIC SERVICES, LLC
Practice address
2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136
Phone
(404) 915-2736
Fax
(404) 795-0840
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Angela M JonesNPI 1932252434
Title
Speech Language Pathologist
Phone
(404) 915-2736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP006095 GA Primary

Addresses

Primary practice location

2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136

Mailing address

2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136
Phone (404) 915-2736

Other identifiers 2

IdentifierTypeStateIssuer
124104840IMedicaidGA
124104840GMedicaidGA

National Provider Directory

National Provider Directory

Locations

2451 Cumberland Pkwy SE
Ste 3693
Atlanta, GA 30339
Phone (404) 915-2736

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1316175375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "SUITE 3693",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-915-2736",
            "fax_number": "404-795-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "SUITE 3693",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-915-2736",
            "fax_number": "404-795-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINGUISTIC IMPRESSIONS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-915-2736"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124104840I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124104840G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.