Brenda C Mitchell, MS,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL005382L Issued in PA

Practice address

2151 Linglestown Rd
Suite 140
Harrisburg, PA 17110-9499

Phone

(717) 540-3446

Fax

(717) 540-3447

NPI assigned

Nov 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Capital Area Physical Therapy, Inc

  dba Capital Area PT

  • Physical Therapy Clinic/Center
  • Harrisburg, PA
  • NPI 1528226123
  NPD (past)
• Therapies Unlimited, Inc

  • Physical Therapist
  • Harrisburg, PA
  • NPI 1457350803
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1639160872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 WILLOW SPRING RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114715",
            "telephone_number": "717-540-3446",
            "fax_number": "717-540-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "SUITE 140",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-540-3446",
            "fax_number": "717-540-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRENDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005382L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH SERVICES",
            "identifier": "251844378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50020000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1537904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS",
            "identifier": "7112494",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3317925",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "MI530509",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01840158",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gautam Mishra, MD
• Kevin Misner, MD
• Clare Missimer
• Mission Health, LLC
• Amanda Mitchell
• Tamara M Mitchell, OT
• Yanelle Mitchell
• Carrie Elizabeth Mitcheltree
• Jacqueline Grace Mitcheltree, CRNP
• Adrienne R Mitford

• Speech-Language Pathologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.