Andrea C Balan-Vogt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003483A Issued in IN

Practice address

1353 Spruce Dr
Carmel, IN 46033-9375

Phone

(317) 258-6284

NPI assigned

May 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children's Therapy House, LLC

  dba Carmel Speech and Myo

  • Clinic/Center
  • Carmel, IN
  • NPI 1528808797
  NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538375423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 SPRUCE DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339375",
            "telephone_number": "317-258-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 SPRUCE DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339375",
            "telephone_number": "317-258-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN-VOGT",
        "first_name": "ANDREA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003483A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200601590",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200701310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Baker, BCBA
• Julie A Baker
• Tori Baker
• Kenzie Lauren Bakke
• Alex M Balaban, D.D.S.
• Mackynzee Balbach
• Emma Balensiefer, DC
• Anthony Joseph Ball
• Kristi Lea Ball, MA,CCC-SLP
• Sierra Ballard

• Speech-Language Pathologist in Carmel, IN
• Providers in Carmel, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.