Individual provider Active NPI

Mischa L Price, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Kiln, MS
National Provider Identifier
1487766119
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-3407 Issued in MS
Practice address
2465 Rocky Hill Dedeaux Rd
Kiln, MS 39556-6552
Phone
(251) 895-3183
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2114 AL
Speech-Language Pathologist 235Z00000X S-3407 MS Primary

Addresses

Primary practice location

2465 Rocky Hill Dedeaux Rd
Kiln, MS 39556-6552

Mailing address

2465 Rocky Hill Dedeaux Rd
Kiln, MS 39556-6552
Phone (251) 895-3183

Other practice location 1

9 Balmoral Dr
Poplarville, MS 39470-3344
Phone (601) 795-2043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2114ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lambert Therapy Services Speech-Language Pathologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1487766119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 ROCKY HILL DEDEAUX RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395566552",
            "telephone_number": "251-895-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 ROCKY HILL DEDEAUX RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395566552",
            "telephone_number": "251-895-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Balmoral Dr",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394703344",
            "country_code": "US",
            "telephone_number": "601-795-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MISCHA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2114",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiln, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.