Individual provider Active NPI

Stephanie Hasenmyer, SLP

  • Speech-Language Pathologist
  • Morgantown, WV
National Provider Identifier
1689749335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-0852 Issued in WV
Practice address
1085 Van Voorhis Rd
Suite 200
Morgantown, WV 26505-3497
Phone
(304) 599-9250
Fax
(304) 599-9254
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP-0852 WV Primary

Addresses

Primary practice location

1085 Van Voorhis Rd
Suite 200
Morgantown, WV 26505-3497

Mailing address

591 Jones Ave
Morgantown, WV 26505-4721
Phone (304) 296-9536

Other identifiers 1

IdentifierTypeStateIssuer
7402293000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000209 WV Practitioner - Qualified Speech Language Pathologist 1557741626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Therapy Services, LLCGroup PAC ID 1052318508, 22 clinicians

Practice addresses (Care Compare)

6000 Hampton Ctr
Suite B
Morgantown, WV 26505-1748
Phone (304) 599-2600

6000 Hampton Ctr B
Morgantown, WV 26505-1748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-0852WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services, LLC Speech-Language Pathologist CurrentSince Apr 18, 2022 Accepting new patients

Locations

6000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-1500

1085 Van Voorhis Rd
Ste 200
Morgantown, WV 26505
Phone (304) 599-9250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689749335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 JONES AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265054721",
            "telephone_number": "304-296-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 VAN VOORHIS RD",
            "address_2": "SUITE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053497",
            "telephone_number": "304-599-9250",
            "fax_number": "304-599-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASENMYER",
        "first_name": "STEPHANIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402293000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.