Individual provider Active NPI

Sheena Herskovic, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1497042543
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6423 Issued in AZ
Practice address
5958 E Juniper Ave
Scottsdale, AZ 85254-9225
Phone
(480) 516-4969
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 SLP6423 AZ Primary

Addresses

Primary practice location

5958 E Juniper Ave
Scottsdale, AZ 85254-9225

Mailing address

5958 E Juniper Ave
Scottsdale, AZ 85254-9225
Phone (480) 516-4969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001601 AZ Practitioner - Qualified Speech Language Pathologist 7113463571 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Rule Therapy PLLC Speech-Language Pathologist CurrentSince May 25, 2024 Accepting new patients
Awaken Your Voice LLC CurrentSince Nov 5, 2025 Accepting new patients

Locations

12020 N 35th Ave
Ste 109
Phoenix, AZ 85029
Phone (602) 780-1179

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1497042543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 E JUNIPER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549225",
            "telephone_number": "480-516-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 E JUNIPER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549225",
            "telephone_number": "480-516-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSKOVIC",
        "first_name": "SHEENA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.