Individual provider Active NPI

Stephanie M Barbolini, SLP

  • Speech-Language Pathologist
  • Johnstown, PA
National Provider Identifier
1699359109
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL015661 Issued in PA
Practice address
111 Market St
Johnstown, PA 15901-1608
Phone
(814) 539-1919
Fax
(814) 539-1308
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 SL015661 PA Primary

Addresses

Primary practice location

111 Market St
Johnstown, PA 15901-1608

Mailing address

111 Market St
Johnstown, PA 15901-1608
Phone (814) 539-1919

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
SL015661PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beginnings, Inc. Speech-Language Pathologist PastSince May 16, 2021 Accepting new patients

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1699359109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011608",
            "telephone_number": "814-539-1919",
            "fax_number": "814-539-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011608",
            "telephone_number": "814-539-1919",
            "fax_number": "814-539-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOLINI",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.