NPIMap

Organization Active NPI

Tots to Teens Communication Therapy

  • Speech-Language Pathologist
  • Picayune, MS
National Provider Identifier
1376719005
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3081 Issued in MS
Legal business name
TOTS TO TEENS COMMUNICATION THERAPY
Practice address
416 North Haugh Ave.
Picayune, MS 39466-3916
Phone
(769) 356-8931
Fax
(601) 620-4117
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Stephanie M Theriont, MS CCC SLP
Title
Speech Therapist
Phone
(601) 799-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X S3081 MS Primary

Addresses

Primary practice location

416 North Haugh Ave.
Picayune, MS 39466-3916

Mailing address

416 North Haugh Ave.
Picayune, MS 39466-5363
Phone (769) 356-8931

Other identifiers 1

IdentifierTypeStateIssuer
02020221MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Tots to Teens Communication Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

621 W Canal St
Picayune, MS 39466
Phone (601) 889-9800

416 N Haugh Ave
Picayune, MS 39466
Phone (769) 356-8931

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1376719005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NORTH HAUGH AVE.",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665363",
            "telephone_number": "769-356-8931",
            "fax_number": "601-620-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NORTH HAUGH AVE.",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663916",
            "telephone_number": "769-356-8931",
            "fax_number": "601-620-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTS TO TEENS COMMUNICATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "THERIONT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "601-799-4065",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02020221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.