Organization Active NPI

SLP Therapy Associates, LLC

  • Speech-Language Pathologist
  • Smyrna, GA
National Provider Identifier
1336891399
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SLP THERAPY ASSOCIATES, LLC
Practice address
4815 Clay Brooke Dr SE
Smyrna, GA 30082-5063
Phone
(678) 390-5154
Fax
(800) 518-2488
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Jarena Campbell, CCC-SLP, CAS
Title
Speech-Language Pathologist
Phone
(800) 518-2488

Specialties & licenses 1

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

Addresses

Primary practice location

4815 Clay Brooke Dr SE
Smyrna, GA 30082-5063

Mailing address

1700 Northside Drive
Suite A7 PMB 2882
Atlanta, GA 30318

Other practice location 1

1409 DuPont Commons Cir NW
Atlanta, GA 30318-2796
Phone (678) 472-0655

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@slptherapyassociates.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1336891399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DRIVE",
            "address_2": "SUITE A7 PMB 2882",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 CLAY BROOKE DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825063",
            "telephone_number": "678-390-5154",
            "fax_number": "800-518-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 DuPont Commons Cir NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182796",
            "country_code": "US",
            "telephone_number": "678-472-0655",
            "fax_number": "800-518-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLP THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JARENA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "800-518-2488",
        "authorized_official_credential": "CCC-SLP, CAS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@slptherapyassociates.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1700 Northside Drive",
            "address_2": "Suite A7 PMB 2882",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.