Organization Active NPI

Small Talk Therapy, Inc.

  • Speech-Language Pathologist
  • Conifer, CO
National Provider Identifier
1427325752
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL TALK THERAPY, INC.
Practice address
10846 Elder Ave.
Conifer, CO 80433
Phone
(720) 851-4820
NPI assigned
Dec 1, 2011
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Nicole Renee DawsonNPI 1003183385
Title
President
Phone
(720) 851-4820

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

10846 Elder Ave.
Conifer, CO 80433

Mailing address

10846 Elder Ave.
Conifer, CO 80433
Phone (720) 851-4820

Other identifiers 1

IdentifierTypeStateIssuer
34076271MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1427325752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10846 ELDER AVE.",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "80433",
            "telephone_number": "720-851-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10846 ELDER AVE.",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "80433",
            "telephone_number": "720-851-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-851-4820"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34076271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.