Organization Active NPI

The Aspen Center Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1417080607
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3874 Issued in NC
Legal business name
THE ASPEN CENTER INC.
Practice address
4328 Bland Road
Raleigh, NC 27609-6125
Phone
(919) 981-6588
Fax
(919) 981-6255
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Ms. Lisa Smith, MACCCSLP
Title
President
Phone
(919) 981-6588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3874 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4328 Bland Road
Raleigh, NC 27609-6125

Mailing address

4328 Bland Road
Raleigh, NC 27609-6125
Phone (919) 981-6588

Other identifiers 2

IdentifierTypeStateIssuer
018CCOtherNCBCBSNC GROUP NUMBER
7211627MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
The Aspen Center2 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

8733 Holly Springs Rd
Apex, NC 27539
Phone (919) 981-6588

351 Wellesley Trade Ln
Ste 215
Cary, NC 27519
Phone (984) 304-4555

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1417080607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 BLAND ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096125",
            "telephone_number": "919-981-6588",
            "fax_number": "919-981-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 BLAND ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096125",
            "telephone_number": "919-981-6588",
            "fax_number": "919-981-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ASPEN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-981-6588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MACCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3874",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP NUMBER",
            "identifier": "018CC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.