Organization Active NPI

Kahl Therapy Corner, LLC

  • Speech-Language Pathologist
  • Council Bluffs, IA
National Provider Identifier
1417438417
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Jillian Kahl, MA CCC-SLPNPI 1124495692
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1124495692MedicaidNE
1124495692MedicaidIA

Other names 1

  • Kahl Therapy Corner Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.