Anne Townsend, CCC-SLP – Speech-Language Pathologist

Key facts

NPI: 1609461102
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 76694 (MA)
Practice address: 50 Gold Star Blvd
Worcester, MA 01606-2812
Phone: (508) 856-9510
Fax: (508) 853-1907
NPI assigned: Mar 5, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Reliant Medical Group, Inc Family Medicine Physician · Worcester, MA · NPI 1720017528

Medicare reassignment Care Compare group NPD MA
Mountain Speak Speech Therapy, L.L.C. Speech-Language Pathologist · Princeton, MA · NPI 1013856442

NPD Authorized official SPEECH-LANGUAGE PATHOLOGIST
Reliant Medical Group, Inc Physical Therapist · Worcester, MA · NPI 1295827962

Care Compare group NPD (past)

Medicare Care Compare profile

Specialty: Qualified Speech Language Pathologist
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Reliant Medical Group Inc (638 clinicians)

Practice addresses (Care Compare)

50 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 856-9510

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210317001074	MA	Practitioner - Qualified Speech Language Pathologist	6406262468	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
76694	MA	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Mountain Speak Speech Therapy, L.L.C.	Speech-Language Pathologist	Current	Accepting new patients
Reliant Medical Group, Inc		Current since Mar 15, 2021	Accepting new patients
Reliant Medical Group, Inc		Past	Accepting new patients

Locations

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

Direct secure messaging: anne.townsend.npi1609461102.reliant@direct.optumcare.masshiway.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	76694	MA	Yes

Addresses

Primary practice location

50 Gold Star Blvd
Worcester, MA 01606-2812

Mailing address

50 Gold Star Blvd
Worcester, MA 01606-2812
Phone (508) 856-9510

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2021.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1609461102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GOLD STAR BLVD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062812",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GOLD STAR BLVD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062812",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

All providers in Worcester, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.