Individual provider Active NPI

Courtney E Young

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1396412672
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0000864 Issued in CO
Practice address
10246 Progress LN
Parker, CO 80134-4044
Phone
(720) 515-8254
NPI assigned
Aug 25, 2021
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 PSLP.0000864 CO Primary

Addresses

Primary practice location

10246 Progress LN
Parker, CO 80134-4044

Mailing address

7782 Windwood Way
Parker, CO 80134-6343
Phone (720) 556-8706

Other practice location 1

900 Potomac St
Aurora, CO 80011-6716
Phone (303) 367-1166

Other identifiers 2

IdentifierTypeStateIssuer
14282399OtherMDASHA - CERT. OF CLINICAL COMPETENCE IN SLP
PSLP.0000864OtherCOSTATE OF COLORADO DORA (DEPT. OF REGULATORY AGENCIES)

Other names 1

  • Courtney E. White Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003402 ID Practitioner - Qualified Speech Language Pathologist 0446798797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatterton Speech Therapy LLCGroup PAC ID 9234350182, 8 clinicians

Practice addresses (Care Compare)

8601 W Emerald St
Suite 150
Boise, ID 83704-4841
Phone (208) 793-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSLP.0000864COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Pediatric Speech Therapy Speech-Language Pathologist CurrentSince May 1, 2023 Accepting new patients
Chatterton Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients

Locations

10246 Progress Ln
Parker, CO 80134
Phone (605) 691-2653

8601 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 321-0634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1396412672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7782 WINDWOOD WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346343",
            "telephone_number": "720-556-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10246 PROGRESS LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344044",
            "telephone_number": "720-515-8254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Potomac St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800116716",
            "country_code": "US",
            "telephone_number": "303-367-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA - CERT. OF CLINICAL COMPETENCE IN SLP",
            "identifier": "14282399",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO DORA (DEPT. OF REGULATORY AGENCIES)",
            "identifier": "PSLP.0000864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WHITE",
            "middle_name": "E.",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

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