Active NPI
Rachel Wilgenhof, MS CCC-SLP
- Speech-Language Pathologist
- Clarksburg, WV
National Provider Identifier
1699489138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2365
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2365 | Other | WV | SLP LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2365 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Speech Solutions | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Bridgeport, WV
- NPI 1760067326
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.