Burning Bush Speech Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BURNING BUSH SPEECH SERVICES

Practice address

9948 Jack Nicklaus Dr
Lancaster, SC 29720-0445

Phone

(803) 339-0135

Fax

(803) 262-2039

NPI assigned

Jun 25, 2025

Last updated

Jul 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Marie Wagner, M.S. CCC-SLPNPI 1073006037

Title

Ceo/Owener

Phone

(803) 339-0135

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Marie Wagner, CCC-SLP

  • Speech-Language Pathologist
  • Rock Hill, SC
  • NPI 1073006037
  NPD Authorized official

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751673600000",
    "number": "1508754896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 CELANESE RD # 3",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328440",
            "telephone_number": "610-816-8489",
            "fax_number": "803-262-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9948 JACK NICKLAUS DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200445",
            "telephone_number": "803-339-0135",
            "fax_number": "803-262-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNING BUSH SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/OWENER",
        "authorized_official_telephone_number": "803-339-0135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Jean Mungo Bryant, PHARMD
• Susan Bucca, LMT
• Robbie D Buechler, M.D.
• Amy B Bundy, NCACI, SAP, LBSW
• Nancy L. Burleson, MD
• Butterfly Pediatric Therapy, LLC
• George K Camp III, DDS
• Sophia Campbell
• Care Solutions Nurse Aide
• Care-Net of Lancaster (Plexus Pharmacy)

• Speech-Language Pathologist in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; 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.