Ideal Intervention, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3012 Issued in SC

Legal business name

IDEAL INTERVENTION, LLC

Practice address

124 Bailey Slice Rd
Chapin, SC 29036-8900

Phone

(803) 360-2978

Fax

(803) 932-7897

NPI assigned

Feb 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Slice Jones, MSP, CCC-SLP, BCABANPI 1821006479

Title

Speech-Language Pathologist, Owner

Phone

(803) 360-2978

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Angela Slice Jones, MSP, CCC-SLP,BCBA

  • Speech-Language Pathologist
  • Chapin, SC
  • NPI 1821006479
  NPD (past) Authorized official

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518093632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BAILEY SLICE RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368900",
            "telephone_number": "803-360-2978",
            "fax_number": "803-932-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BAILEY SLICE RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368900",
            "telephone_number": "803-360-2978",
            "fax_number": "803-932-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SLICE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "803-360-2978",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC-SLP, BCABA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0289",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Cobb Horton, M.S.P., SLP-CCC
• Michelle M Huet, OTR
• Kaitlin Hughes, DPT
• Mary Huth
• Brenda Hyleman, MSW
• Russell Steven Jacobus, RT(ARRT)
• Angela Slice Jones, MSP, CCC-SLP,BCBA
• Brittany Nicole Jones, FNP-C
• Amy White Joyner, FNP
• Jumpstart Pediatrics LLC

• Speech-Language Pathologist in Chapin, SC
• Providers in Chapin, 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 Aug 22, 2020; 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.