Bailey Henneberger, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01181800 Issued in NJ

Practice address

4 Hendrickson Ave Ste 4
Red Bank, NJ 07701-6155

Phone

(732) 639-1551

Fax

(732) 335-6759

NPI assigned

Jan 16, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Little Birds Speech Therapy, LLC

  dba Little Birds Pediatric Therapy

  • Speech-Language Pathologist
  • Red Bank, NJ
  • NPI 1760998082

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1649985599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HENDRICKSON AVE STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016155",
            "telephone_number": "732-639-1551",
            "fax_number": "732-335-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERGER",
        "first_name": "BAILEY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01181800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health in Hand Chiropractic Centers, P.a.
• Health-Bridge of Red Bank LLC
• Hear We Go, LLC (Zounds Hearing)
• Heart and Soul Healing LLC
• Joyce Henn, APN,B-C
• Karen J Henningson, D.O.
• Christine Capaldi Henry, DDS
• Richard Herbster, DO
• Robert A Herbstman, M.D.
• Mary A Herdman, MSW

• Speech-Language Pathologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.