Bethany Thorson, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0002608 Issued in CO

Practice address

8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042

Phone

(303) 430-2490

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Wamboldt Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Cognitive and Linguistic Center IncGroup PAC ID 5092027409, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boulder Cognitive and Linguistic Center Inc

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
  • NPI 1205215662

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Aac Specialists, LLC

  • Speech-Language Pathologist
  • Greenwood Village, CO
  • NPI 1730194432
  Medicare reassignment NPD
• Physical Therapy & Rehabilitation Services, PC

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1811541691
  Medicare reassignment NPD
• Boulder Cognitive and Linguistic Center Inc

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1699244566
  NPD

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1346789559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR UNIT 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317042",
            "telephone_number": "303-430-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR UNIT 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317042",
            "telephone_number": "303-430-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "BETHANY",
        "credential": "MS CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP0002608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WAMBOLDT",
            "credential": "MSCCCSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Thompson, MA CCC-SLP
• Joshua John Thompson, ATC
• Warren Griffith Thompson, MD
• Olivia Louise Thornton, MD, MPH
• Christine Ann Thorp
• Steven C Tillman, O.D.
• Marissa Tinger
• Korina Lynn Tinkham
• Tiny Chatter, LLC
• My Ngoc To, MSW

• Speech-Language Pathologist in Westminster, CO
• Providers in Westminster, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.