Organization Active NPI

'Therapy Is Fun', Inc.

  • Speech-Language Pathologist
  • Los Lunas, NM
National Provider Identifier
1447518428
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3285 Issued in NM
Legal business name
'THERAPY IS FUN', INC.
Practice address
13 Dos Locos
Los Lunas, NM 87031-5014
Phone
(505) 620-4129
Fax
(505) 216-0897
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Cindy A. Chacon, M.A.,CCC-SLP
Title
President
Phone
(505) 620-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3285 NM Primary

Addresses

Primary practice location

13 Dos Locos
Los Lunas, NM 87031-5014

Mailing address

13 Dos Locos
Los Lunas, NM 87031-5014
Phone (505) 620-4129

Other identifiers 1

IdentifierTypeStateIssuer
07104219MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1447518428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DOS LOCOS",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315014",
            "telephone_number": "505-620-4129",
            "fax_number": "505-216-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DOS LOCOS",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315014",
            "telephone_number": "505-620-4129",
            "fax_number": "505-216-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "'THERAPY IS FUN', INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-620-4129",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07104219",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.