Active NPI
Carly Allison Mitchell, MS, CCC-SLP
- Speech-Language Pathologist
- Jasper, AL
National Provider Identifier
1669173274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5358
- Practice address
- 1700 5TH Ave S
Jasper, AL 35501-5334 - Phone
- (205) 388-0563
- Fax
- (205) 512-2548
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 220064 | AL | |
| Speech-Language Pathologist | 235Z00000X | 5358 | AL | Primary |
Addresses
Primary practice location
1700 5TH Ave S
Jasper, AL 35501-5334
Mailing address
13674 County Highway 42
Guin, AL 35563-4410
Phone (205) 570-1257
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220064 | AL | MD | Speech-Language Pathologist |
| 5358 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1669173274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13674 COUNTY HIGHWAY 42",
"city": "GUIN",
"state": "AL",
"postal_code": "355634410",
"telephone_number": "205-570-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 5TH AVE S",
"city": "JASPER",
"state": "AL",
"postal_code": "355015334",
"telephone_number": "205-388-0563",
"fax_number": "205-512-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CARLY",
"middle_name": "ALLISON",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "220064",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "5358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.