Individual provider Active NPI

Kristin Ellis, CCC-SLP

  • Speech-Language Pathologist
  • Lehighton, PA
National Provider Identifier
1457789331
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011133 Issued in PA
Practice address
80 Call Mountain Cir
Lehighton, PA 18235-6001
Phone
(484) 601-2283
Fax
(484) 601-2283
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011133 PA Primary

Addresses

Primary practice location

80 Call Mountain Cir
Lehighton, PA 18235-6001

Mailing address

80 Call Mountain Cir
Lehighton, PA 18235-6001
Phone (484) 629-5484

Other practice location 1

638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone (610) 436-3600 ext. 29

Other names 1

  • Kristin Schnell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@t2ttherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000396 PA Practitioner - Qualified Speech Language Pathologist 5890174528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 Bridge St
Lehighton, PA 18235-1906
Phone (484) 629-2035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL011133PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Time 2 Talk Therapy Services LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

521 Bridge St
Lehighton, PA 18235
Phone (484) 601-2283

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1457789331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CALL MOUNTAIN CIR",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182356001",
            "telephone_number": "484-629-5484",
            "fax_number": "484-601-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CALL MOUNTAIN CIR",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182356001",
            "telephone_number": "484-601-2283",
            "fax_number": "484-601-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Brandywine Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804278",
            "country_code": "US",
            "telephone_number": "610-436-3600 x29",
            "fax_number": "610-436-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KRISTIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@t2ttherapy.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "80 Call Mountain Cir",
            "city": "Lehighton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "182356001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SCHNELL",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.