Individual provider Active NPI

Stephanie Rolfs, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1417273087
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0001075 Issued in CO
Practice address
5850 Morning Light Ter
Colorado Springs, CO 80919-3781
Phone
(888) 701-9216
Fax
(866) 569-1087
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 SLP.0001075 CO Primary

Addresses

Primary practice location

5850 Morning Light Ter
Colorado Springs, CO 80919-3781

Mailing address

6462 Rockville Dr
Colorado Springs, CO 80923-3812
Phone (719) 433-8604

Other identifiers 1

IdentifierTypeStateIssuer
SLP.0001075OtherCODORA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP.0001075COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Pediatric Therapies LLC PastSince Apr 1, 2020 Accepting new patients
Front Range Pediatric Therapies LLC Speech-Language Pathologist PastSince Feb 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1417273087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 ROCKVILLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233812",
            "telephone_number": "719-433-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 MORNING LIGHT TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193781",
            "telephone_number": "888-701-9216",
            "fax_number": "866-569-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFS",
        "first_name": "STEPHANIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA LICENSE",
            "identifier": "SLP.0001075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.