Active NPI
Kristin Ellis, CCC-SLP
- Speech-Language Pathologist
- Lehighton, PA
National Provider Identifier
1457789331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL011133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SL011133 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time 2 Talk Therapy Services LLC | Current | 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.