Organization Active NPI

Listen, Speak and Communicate Speech Language Pathology

  • Speech-Language Pathologist
  • Sykesville, MD
National Provider Identifier
1396573747
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LISTEN, SPEAK AND COMMUNICATE SPEECH LANGUAGE PATHOLOGY
Practice address
1587 Brimfield Cir
Sykesville, MD 21784-5938
Phone
(443) 545-6341
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Kelly E Gwynne-Ors, M.S. SLP
Title
Speech Language Pathologist
Phone
(443) 545-6341

Specialties & licenses 1

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

Addresses

Primary practice location

1587 Brimfield Cir
Sykesville, MD 21784-5938

Mailing address

1587 Brimfield Cir
Sykesville, MD 21784-5938
Phone (443) 545-6341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115003098 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274067061 Receives reassigned benefits from 1 practitioner
Practice locations: Sykesville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1396573747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 BRIMFIELD CIR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845938",
            "telephone_number": "443-545-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 BRIMFIELD CIR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845938",
            "telephone_number": "443-545-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISTEN, SPEAK AND COMMUNICATE SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GWYNNE-ORS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "443-545-6341",
        "authorized_official_credential": "M.S. SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.