Individual provider Active NPI

Kim H Selent, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1497001853
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4170 Issued in SC
Practice address
48 Club Forest LN
Greenville, SC 29605-3152
Phone
(864) 370-0131
NPI assigned
Aug 2, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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 4170 SC Primary

Addresses

Primary practice location

48 Club Forest LN
Greenville, SC 29605-3152

Mailing address

245 Louisville Dr
Greenville, SC 29607-6527
Phone (770) 843-7364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003822 SC Practitioner - Qualified Speech Language Pathologist 4688038029 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4170SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Services CurrentSince Jul 22, 2023 Accepting new patients
Total Therapy Solutions CurrentSince Jul 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1497001853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LOUISVILLE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076527",
            "telephone_number": "770-843-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CLUB FOREST LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053152",
            "telephone_number": "864-370-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELENT",
        "first_name": "KIM",
        "middle_name": "H",
        "name_prefix": "Miss",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.