Individual provider Active NPI

Louise Eitelberg, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Hawley, PA
National Provider Identifier
1699974626
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008507 Issued in PA
Practice address
8 Silk Mill Dr Ste 204
Hawley, PA 18428-1413
Phone
(201) 231-2445
Fax
(215) 515-0038
NPI assigned
Jul 11, 2007
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 41YS00298700 NJ
Speech-Language Pathologist 235Z00000X SL008507 PA Primary

Addresses

Primary practice location

8 Silk Mill Dr Ste 204
Hawley, PA 18428-1413

Mailing address

8 Silk Mill Dr Ste 204
Hawley, PA 18428-1413
Phone (201) 341-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310000245 PA Practitioner - Qualified Speech Language Pathologist 2264848654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Falls Speech Therapy Center LLCGroup PAC ID 9638585029, 2 clinicians

Practice addresses (Care Compare)

8 Silk Mill Dr
Suite 204
Hawley, PA 18428-1413
Phone (201) 341-2445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00298700NJMDSpeech-Language Pathologist
SL008507PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Falls Speech Therapy Center LLC CurrentSince Feb 16, 2021 Accepting new patients

Locations

8 Silk Mill Dr
Ste 204
Hawley, PA 18428
Phone (201) 231-2445

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1699974626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SILK MILL DR STE 204",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281413",
            "telephone_number": "201-341-2445",
            "fax_number": "215-515-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SILK MILL DR STE 204",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281413",
            "telephone_number": "201-231-2445",
            "fax_number": "215-515-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITELBERG",
        "first_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00298700",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.