Individual provider Active NPI

Betsy Lynn Eager Kessel, MS CCCSLP

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1376602672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP572 Issued in GA
Practice address
2698 Morgans Walk
Marietta, GA 30064-7518
Phone
(409) 556-5554
Fax
(770) 428-2112
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP572 GA Primary

Addresses

Primary practice location

2698 Morgans Walk
Marietta, GA 30064-7518

Mailing address

2698 Morgans Walk
Marietta, GA 30064-7518
Phone (409) 556-5554

Other identifiers 1

IdentifierTypeStateIssuer
00609056FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP572GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learning & Communication Therapy Services Inc Speech-Language Pathologist Past Accepting new patients
Abc Pediatric Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376602672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 MORGANS WALK",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647518",
            "telephone_number": "409-556-5554",
            "fax_number": "770-428-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 MORGANS WALK",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647518",
            "telephone_number": "409-556-5554",
            "fax_number": "770-428-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGER KESSEL",
        "first_name": "BETSY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00609056F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.