Active NPI
Kahl Therapy Corner, LLC
- Speech-Language Pathologist
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KAHL THERAPY CORNER, LLC
- Practice address
- 1500 N 16TH St
Council Bluffs, IA 51501-0150 - Phone
- (712) 310-8395
- Fax
- (888) 975-0225
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jillian Kahl, MA CCC-SLP
- Title
- Owner/Speech Langauge Pathologist
- Phone
- (712) 310-8395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IA | Primary |
Addresses
Primary practice location
1500 N 16TH St
Council Bluffs, IA 51501-0150
Mailing address
1415 W Broadway
Council Bluffs, IA 51501-3922
Phone (712) 308-8233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124495692 | Medicaid | NE | |
| 1124495692 | Medicaid | IA |
Other names 1
- Kahl Therapy Corner
National Provider Directory
National Provider DirectoryLocations
1500 N 16th St
Council Bluffs, IA 51501
Phone (712) 310-8395
1415 W Broadway
Council Bluffs, IA 51501
2206 Longo Dr
Ste 208
Bellevue, NE 68005
Phone (402) 291-2580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Bellevue, NE
- NPI 1124495692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637539200000",
"number": "1417438417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013922",
"telephone_number": "712-308-8233",
"fax_number": "888-975-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N 16TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515010150",
"telephone_number": "712-310-8395",
"fax_number": "888-975-0225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAHL THERAPY CORNER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-27",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A",
"authorized_official_last_name": "KAHL",
"authorized_official_first_name": "JILLIAN",
"authorized_official_title_or_position": "OWNER/SPEECH LANGAUGE PATHOLOGIST",
"authorized_official_telephone_number": "712-310-8395",
"authorized_official_credential": "MA CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124495692",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124495692",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kahl Therapy Corner",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.