Individual provider Active NPI

Brenda Irene Ongley, CCC - SLP

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1346531647
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12092170 Issued in CO
Practice address
217 Pennsylvania Ave
Woodland Park, CO 80863-8823
Phone
(719) 687-9335
NPI assigned
Apr 21, 2011
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12092170 CO Primary

Addresses

Primary practice location

217 Pennsylvania Ave
Woodland Park, CO 80863-8823

Mailing address

24600 Silver Cloud CT
Ste 104
Monterey, CA 93940-6555
Phone (831) 645-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526000689 CA Practitioner - Qualified Speech Language Pathologist 0345628798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29547CAMDPhysical Therapist
12092170COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Language and Learning Center CurrentSince May 1, 2022 Accepting new patients

Locations

24600 Silver Cloud Ct
Ste 104
Monterey, CA 93940
Phone (831) 645-7900

Organizations & group practices 1

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1346531647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 SILVER CLOUD CT",
            "address_2": "STE 104",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406555",
            "telephone_number": "831-645-7900",
            "fax_number": "831-645-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PENNSYLVANIA AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638823",
            "telephone_number": "719-687-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGLEY",
        "first_name": "BRENDA",
        "middle_name": "IRENE",
        "credential": "CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12092170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.