Organization Active NPI

Crescent Speech Services, LLC

  • Speech-Language Pathologist
  • Aiken, SC
National Provider Identifier
1710296900
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3506 Issued in SC
Legal business name
CRESCENT SPEECH SERVICES, LLC
Practice address
117 Forest Trail CT
Aiken, SC 29805-7895
Phone
(803) 443-8242
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Samuel R. Bennett
Title
Owner
Phone
(803) 443-8242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3506 SC Primary

Addresses

Primary practice location

117 Forest Trail CT
Aiken, SC 29805-7895

Mailing address

PO Box 2883
Aiken, SC 29802-2883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1710296900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2883",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298022883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOREST TRAIL CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298057895",
            "telephone_number": "803-443-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-443-8242"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.