The Aac Speech Clinic, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2267 Issued in NV

Legal business name

THE AAC SPEECH CLINIC, LLC

Practice address

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903

Phone

(702) 355-9862

Fax

(888) 316-4826

NPI assigned

Apr 12, 2018

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Hanta Wallisch, M.S. CCC-SLPNPI 1780185645

Title

Chief Executive Officer

Phone

(702) 355-9862

Specialties & licenses 6

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Hanta Wallisch, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1780185645

  Assistive Technology Practitioner

  NPD Authorized official

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1417454612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD, SUITE 13-J19",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891355008",
            "telephone_number": "702-355-9862",
            "fax_number": "888-316-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-355-9862",
            "fax_number": "888-316-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AAC SPEECH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "WALLISCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "HANTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-355-9862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2267",
            "primary": true
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.drchrono.com/accounts/login/",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "address_1": "9260 W Sunset Rd Ste 204",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891484903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Tharps
• Autumn Nicole Thatcher, RBT
• Richard W Thatcher, M.D.
• Kavya Thayappa
• Halle Nicole Thayer
• The Anchor of Hope
• The Art of Obstetrics LLC
• The Bariatric Center, LLC
• The Beloved Companions
• The Best Choice Group Home LLC (The Best Choice Group Home)

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.