Individual provider Active NPI

Wendy Mueller

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1417200650
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
105 High Bridge Rd
Summerville, SC 29485-8451
Phone
(854) 888-0153
Fax
(854) 999-4229
NPI assigned
Oct 25, 2012
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 NU Primary

Addresses

Primary practice location

105 High Bridge Rd
Summerville, SC 29485-8451

Mailing address

105 High Bridge Rd
Summerville, SC 29485-8451
Phone (854) 888-0153

Other practice location 1

4390 Belle Oaks Dr
Suite 120
North Charleston, SC 29405-8559
Phone (866) 571-2700

Other practice location 2

1801 Old Trolley Rd Ste 203
Summerville, SC 29485-8283
Phone (843) 594-3032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203000409 SC Practitioner - Qualified Speech Language Pathologist 3375868920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4733SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Speech Considered, LLC Speech-Language Pathologist CurrentSince Oct 27, 2019 Accepting new patients
Palmetto Hearing Care Center, LLC Speech-Language Pathologist CurrentSince Dec 1, 2014 Accepting new patients
Hears 2 You LLC PastSince Jan 19, 2025 Accepting new patients

Locations

1801 Old Trolley Rd
Ste 101
Summerville, SC 29485
Phone (843) 871-3235

1801 Old Trolley Rd
Ste 203
Summerville, SC 29485
Phone (843) 594-3032

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Organizations & group practices 3

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1417200650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HIGH BRIDGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858451",
            "telephone_number": "854-888-0153",
            "fax_number": "854-999-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIGH BRIDGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858451",
            "telephone_number": "854-888-0153",
            "fax_number": "854-999-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4390 Belle Oaks Dr",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058559",
            "country_code": "US",
            "telephone_number": "866-571-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Old Trolley Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858283",
            "country_code": "US",
            "telephone_number": "843-594-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.