South Carolina Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOUTH CAROLINA SPEECH THERAPY, LLC

Practice address

6 Bellagio Way
Greer, SC 29651-7542

Phone

(864) 680-2170

NPI assigned

Oct 28, 2013

Last updated

Dec 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Winters, MCD, CCC-SLPNPI 1588003610

Title

Speech-Language Pathologist

Phone

(864) 680-2170

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Jordan Winters, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Greer, SC
  • NPI 1588003610
  NPD Authorized official

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1346678406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BELLAGIO WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BELLAGIO WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517542",
            "telephone_number": "864-680-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "864-680-2170",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bassam Soumsoum
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• South Carolina CVS Pharmacy LLC (CVS Pharmacy #04153)
• South Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #02189)
• South Carolina Research Group LLC
• Southern Eye Associates of SC, PA (Southern Eye Associates, PA)
• Southern Eye Associates of South Carolina, PA
• Southern Eye Optical LLC
• Brian Spackman, DC
• Leslie Ann Sparovic, PHARMD

• Speech-Language Pathologist in Greer, SC
• Providers in Greer, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.