Individual provider Active NPI

Arianna N. Mihalakakos, AUD

  • Audiologist
  • Mount Laurel, NJ
National Provider Identifier
1346971421
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00127800 Issued in NJ
Practice address
204 Ark Rd Ste 103-C
Mount Laurel, NJ 08054-3100
Phone
(856) 492-1355
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00127800 NJ Primary
Audiologist 231H00000X 0101275069 VA

Addresses

Primary practice location

204 Ark Rd Ste 103-C
Mount Laurel, NJ 08054-3100

Mailing address

240 Ark Rd Ste 103-C
Mount Laurel, NJ 08054-6313

Other practice location 1

415 Ray C Hunt Dr Ste 2200
Charlottesville, VA 22903-2980
Phone (434) 924-5700

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-2980
Phone (434) 924-0211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114001639 NJ Practitioner - Qualified Audiologist 6406237809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00127800NJMDAudiologist
0101275069VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language Associates LLC Audiologist CurrentSince Nov 9, 2023 Accepting new patients

Locations

204 Ark Rd
Ste 103C
Mount Laurel, NJ 08054
Phone (856) 492-1355

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1346971421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ARK RD STE 103-C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD STE 103-C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Ray C Hunt Dr Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032980",
            "country_code": "US",
            "telephone_number": "434-924-5700",
            "fax_number": "434-924-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082980",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALAKAKOS",
        "first_name": "ARIANNA",
        "middle_name": "N.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00127800",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "0101275069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.