Blue Heron Speech & Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLUE HERON SPEECH & LANGUAGE LLC

Practice address

4213 Old Post Rd # a
Charlestown, RI 02813-2562

Phone

(401) 859-2224

NPI assigned

Aug 2, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Genevieve Gray Muller, MS CCC-SLPNPI 1922831171

Title

Speech/Language Pathologist

Phone

(401) 741-2633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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.

• Genevieve Muller, CCC-SLP

  • Speech-Language Pathologist
  • Westerly, RI
  • NPI 1922831171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1699659755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1B LAUDONE DR",
            "city": "BRADFORD",
            "state": "RI",
            "postal_code": "028081613",
            "telephone_number": "401-741-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 OLD POST RD # A",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132562",
            "telephone_number": "401-859-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON SPEECH & LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "401-741-2633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Kent Barber
• Alison Basile, LCDP
• Marie Christine Benoit, D.M.D.
• Jaime Elizabeth Bernard, LCDP
• Catherine Mary Berndtson, RN, CDE
• Erin Bolles, LMHC
• Stella Breytman, MSW
• Raymond Brodeur
• David S Brown
• Jennifer Gail Brunell, LPC, LMHC

• Speech-Language Pathologist in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.