Individual provider Active NPI

Rachel Wilgenhof, MS CCC-SLP

  • Speech-Language Pathologist
  • Clarksburg, WV
National Provider Identifier
1699489138
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2365 Issued in WV
Practice address
340 Washington Ave
Clarksburg, WV 26301-2922
Phone
(304) 203-2508
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 2365 WV Primary

Addresses

Primary practice location

340 Washington Ave
Clarksburg, WV 26301-2922

Mailing address

PO Box 220
Bridgeport, WV 26330-0220
Phone (304) 203-2508

Other identifiers 1

IdentifierTypeStateIssuer
2365OtherWVSLP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.wilgenhof@bestlifewv.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2365WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Speech Solutions Speech-Language Pathologist CurrentSince Jan 15, 2023 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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1699489138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300220",
            "telephone_number": "304-203-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WASHINGTON AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012922",
            "telephone_number": "304-203-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGENHOF",
        "first_name": "RACHEL",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "2365",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.wilgenhof@bestlifewv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "340 Washington Ave",
            "city": "Clarksburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263012922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.