Organization Active NPI

Carolina Communication Consultants, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1578634945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CAROLINA COMMUNICATION CONSULTANTS, LLC
Practice address
8511 Davis Lake Pkwy
Suite C6-175
Charlotte, NC 28269-0536
Phone
(704) 264-9296
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Stacey Chantia Robinson, CCC SLPNPI 1164557096
Title
Owner
Phone
(704) 264-9296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8511 Davis Lake Pkwy
Suite C6-175
Charlotte, NC 28269-0536

Mailing address

8511 Davis Lake Pkwy
Suite C6-175
Charlotte, NC 28269-0536
Phone (704) 264-9296

Other identifiers 1

IdentifierTypeStateIssuer
7212099MedicaidNC

National Provider Directory

National Provider Directory

Locations

8511 Davis Lake Pkwy
Ste C6175
Charlotte, NC 28269
Phone (704) 264-9296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578634945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY",
            "address_2": "SUITE C6-175",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "704-264-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY",
            "address_2": "SUITE C6-175",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "704-264-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMMUNICATION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "CHANTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-264-9296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • 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.