Organization Active NPI

Simply Speaking Speech Therapy.LLC

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1316328925
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5135 Issued in SC
Legal business name
SIMPLY SPEAKING SPEECH THERAPY.LLC
Practice address
1022 Birchdale Dr
Charleston, SC 29412-8802
Phone
(847) 507-3156
NPI assigned
Jun 10, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Danielle Mayerck, SPEECH PATHNPI 1720394158
Title
Owner
Phone
(847) 507-3156

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 Pathologist 235Z00000X 5135 SC Primary

Addresses

Primary practice location

1022 Birchdale Dr
Charleston, SC 29412-8802

Mailing address

1022 Birchdale Dr
Charleston, SC 29412-8802
Phone (847) 507-3156

Other identifiers 1

IdentifierTypeStateIssuer
1720394158MedicaidSC

National Provider Directory

National Provider Directory

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": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1316328925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BIRCHDALE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128802",
            "telephone_number": "847-507-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BIRCHDALE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128802",
            "telephone_number": "847-507-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SPEAKING SPEECH THERAPY.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "MAYERCK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-507-3156",
        "authorized_official_credential": "SPEECH PATH"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720394158",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.