Organization Active NPI

Integrative Communication Health Services, Inc

Doing business as Wolfe Speech Therapy Plus

  • Speech-Language Pathologist
  • Staunton, VA
National Provider Identifier
1689758427
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202002395 Issued in VA
Legal business name
INTEGRATIVE COMMUNICATION HEALTH SERVICES, INC
Doing business as
Wolfe Speech Therapy Plus
Practice address
1105 Greenville Ave
Staunton, VA 24401-5010
Phone
(540) 885-7774
Fax
(540) 885-7776
NPI assigned
Oct 25, 2006
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Ms. Suzette D Wolfe, MS, CCC-SLP. CERT-AVNPI 1881692986
Title
Director
Phone
(540) 885-7774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X VA
Speech-Language Pathologist 235Z00000X 2202002395 VA Primary

Addresses

Primary practice location

1105 Greenville Ave
Staunton, VA 24401-5010

Mailing address

1105 Greenville Ave
Staunton, VA 24401-5010
Phone (540) 885-7774

Other identifiers 4

IdentifierTypeStateIssuer
004943619MedicaidVA
000209082MedicaidVA
009113002MedicaidVA
010238293MedicaidVA

Other names 1

  • Wolfe Speech Therapy Plus Doing business as

National Provider Directory

National Provider Directory

Locations

100 Red Oaks Dr
Ste 103
Staunton, VA 24401
Phone (540) 885-7774

1105 Greenville Ave
Staunton, VA 24401
Phone (540) 213-0592

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1689758427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GREENVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015010",
            "telephone_number": "540-885-7774",
            "fax_number": "540-885-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 GREENVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015010",
            "telephone_number": "540-885-7774",
            "fax_number": "540-885-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COMMUNICATION HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-885-7774",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP. CERT-AV"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004943619",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000209082",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009113002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010238293",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfe Speech Therapy Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.