Corey J Mitchell, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5615 Issued in NC

Practice address

704 White Daisies CT
Raleigh, NC 27610-2187

Phone

(919) 332-7591

Fax

(186) 659-3892

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Hope Speech Therapy Services

  • Speech-Language Pathologist
  • Plaquemine, LA
  • NPI 1902470792
  NPD Authorized official
• Corey J Mitchell LLC

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1144503319
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1376641415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN",
            "address_2": "SUITE 107-15",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083",
            "telephone_number": "919-332-7591",
            "fax_number": "186-659-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WHITE DAISIES CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102187",
            "telephone_number": "919-332-7591",
            "fax_number": "186-659-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COREY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Hardison, M.D., PLLC
• Alexis Mitchell
• Angela Yevette Mitchell, FNP-C
• Ania Mitchell, RD
• Constance Mitchell, LPC
• Duran Ryan Mitchell, M.D.
• Elizabeth A Mitchell, LCSW
• Emma Rebecca Mitchell, DC
• Jamica Mitchell, LCSWA
• Jason Mitchell

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.