Individual provider Active NPI

Colleen Ireland Morgan, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Fairfax, VA
National Provider Identifier
1558642579
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007907 Issued in VA
Practice address
8280 Willow Oaks Corporate Dr Ste 300
Fairfax, VA 22031-4518
Phone
(571) 472-4300
Fax
(571) 665-6771
NPI assigned
Sep 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07811 MD
Speech-Language Pathologist 235Z00000X 000914 DC
Speech-Language Pathologist 235Z00000X 2202007907 VA Primary

Addresses

Primary practice location

8280 Willow Oaks Corporate Dr Ste 300
Fairfax, VA 22031-4518

Mailing address

8280 Willow Oaks Corporate Dr Ste 300
Fairfax, VA 22031-4518

Other names 1

  • Colleen Mary Ireland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000914DCMDSpeech-Language Pathologist
07811MDMDSpeech-Language Pathologist
2202007907VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1558642579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314518",
            "telephone_number": "571-472-4300",
            "fax_number": "571-665-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "COLLEEN",
        "middle_name": "IRELAND",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07811",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "000914",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "IRELAND",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.