Individual provider Active NPI

Morgan Dare Wellinski, CCC-SLP

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
National Provider Identifier
1699268599
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17148 Issued in FL
Practice address
1849 Pointed Leaf LN
Fort Walton Beach, FL 32547-7092
Phone
(601) 527-2750
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8551 FL
Speech-Language Pathologist 235Z00000X SA17148 FL Primary

Addresses

Primary practice location

1849 Pointed Leaf LN
Fort Walton Beach, FL 32547-7092

Mailing address

1849 Pointed Leaf LN
Fort Walton Beach, FL 32547-7092
Phone (601) 527-2750

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
8551FLMDSpeech-Language Assistant
SA17148FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Therapies, LLC Speech-Language Pathologist PastSince Aug 28, 2021 Accepting new patients
Treehouse Therapies, LLC Speech-Language Pathologist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1699268599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 POINTED LEAF LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325477092",
            "telephone_number": "601-527-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 POINTED LEAF LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325477092",
            "telephone_number": "601-527-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINSKI",
        "first_name": "MORGAN",
        "middle_name": "DARE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8551",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.