Individual provider Active NPI

Kathryn Fehrenbach-Chin, CCC-SLP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1689144438
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009962 Issued in GA
Practice address
4262 Clausell CT Ste a
Decatur, GA 30035-1916
Phone
(678) 713-4609
NPI assigned
Dec 4, 2018
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 SLP009962 GA Primary

Addresses

Primary practice location

4262 Clausell CT Ste a
Decatur, GA 30035-1916

Mailing address

4262 Clausell CT Ste a
Decatur, GA 30035-1916
Phone (517) 898-8830

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

State licenses

LicenseStateTypeSpecialty
SLP009962GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear to Speak Speech-Language Pathologist Past Accepting new patients
Fitly Spoken, LLC Speech-Language Pathologist PastSince Jan 12, 2025 Accepting new patients

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, 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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1689144438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351916",
            "telephone_number": "517-898-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351916",
            "telephone_number": "678-713-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRENBACH-CHIN",
        "first_name": "KATHRYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.