Individual provider Active NPI

Benjamin Coe, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Orange, CA
National Provider Identifier
1679946420
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
31152 Issued in CA
Practice address
4050 W Metropolitan Dr Ste 100
Orange, CA 92868-3502
Phone
(609) 200-0123
NPI assigned
Nov 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 31152 CA Primary

Addresses

Primary practice location

4050 W Metropolitan Dr Ste 100
Orange, CA 92868-3502

Mailing address

8636 Palm Ave
Orange, CA 92865-1925
Phone (949) 212-0343

Other practice location 1

8636 Palm Ave
Orange, CA 92865-1925
Phone (949) 212-0343

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
31152CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tic-Talk-Toe Speech Therapy Inc. CurrentSince Mar 11, 2025 Accepting new patients
Cortica Healthcare Inc PastSince Jul 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1679946420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8636 PALM AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651925",
            "telephone_number": "949-212-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W METROPOLITAN DR STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683502",
            "telephone_number": "609-200-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8636 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651925",
            "country_code": "US",
            "telephone_number": "949-212-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COE",
        "first_name": "BENJAMIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.