Kiersten Clounie, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002623 Issued in NC

Practice address

616 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3106

Phone

(919) 219-5277

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Speech Therapy Solutions

  • Speech-Language Pathologist
  • Wake Forest, NC
  • NPI 1477705077

  Multi-Specialty

  NPD (past)
• Amy Black-Ryel Speech Therapy

  • Hearing and Speech Clinic/Center
  • Aurora, CO
  • NPI 1871017780
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1396471645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 TIMBERKNOLL LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876063",
            "telephone_number": "317-650-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DR CALVIN JONES HWY STE 212",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873106",
            "telephone_number": "919-219-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 Elkhorn Ranch St",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801384229",
            "country_code": "US",
            "telephone_number": "303-378-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUNIE",
        "first_name": "KIERSTEN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79204767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Care Solutions, LLC
• Tyler Clements, DPT
• Clemons Resiliency & Wellness PLLC
• Matthew Antoinne Clemons, NP
• Heather D. R. Clevinger, LCSW
• Coastal Radiology Consultants, PA
• Emily Rebecca Cochran
• Xenia Codreanu
• Lana Horton Coffer, M.ED.,CCC-SLP
• Cognitive Rehabilitation Services

• Speech-Language Pathologist in Wake Forest, NC
• Providers in Wake Forest, 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 Apr 2, 2024; 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.