Individual provider Active NPI

Amanda Joel Houslander, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palm Coast, FL
National Provider Identifier
1679302814
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11405 Issued in FL
Practice address
55 Plaza Dr Ste 6
Palm Coast, FL 32137-8550
Phone
(386) 346-0523
NPI assigned
Jul 27, 2024
Last updated
Jul 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11405 FL Primary

Addresses

Primary practice location

55 Plaza Dr Ste 6
Palm Coast, FL 32137-8550

Mailing address

138 Fairway CT
Bunnell, FL 32110-3410
Phone (847) 826-6801

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

LicenseStateTypeSpecialty
SZ11405FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Speech and Language Center, LLC CurrentSince Mar 21, 2026 Accepting new patients

Locations

55 Plaza Dr
Ste 6
Palm Coast, FL 32137
Phone (386) 212-9995

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1679302814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FAIRWAY CT",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321103410",
            "telephone_number": "847-826-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PLAZA DR STE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378550",
            "telephone_number": "386-346-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSLANDER",
        "first_name": "AMANDA",
        "middle_name": "JOEL",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.