Individual provider Active NPI

Teresa Anne Hollenkamp, MA, SLP-CCC

  • Speech-Language Pathologist
  • Cincinnati, OH
National Provider Identifier
1710408323
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.3459 Issued in OH
Practice address
3530 Springdale Rd
Cincinnati, OH 45251-1331
Phone
(513) 245-0100
Fax
(513) 245-2372
NPI assigned
Jul 5, 2017
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 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 SP.3459 OH Primary

Addresses

Primary practice location

3530 Springdale Rd
Cincinnati, OH 45251-1331

Mailing address

2315 Heather Hill Blvd N
Cincinnati, OH 45244-2666
Phone (513) 474-4123

Other practice location 1

8595 Beechmont Ave Ste 204
Cincinnati, OH 45255
Phone (513) 474-4123

Other names 1

  • Teresa Anne Wiesmann Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002881 OH Practitioner - Qualified Speech Language Pathologist 9032480215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Cincinnati College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Limits Health AllianceGroup PAC ID 9830438084, 7 clinicians

Practice addresses (Care Compare)

3530 Springdale Rd
Cincinnati, OH 45251-1331
Phone (513) 245-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP.3459OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Limits Health Alliance CurrentSince Jan 1, 2019 Accepting new patients

Locations

3377 Compton Rd
Ste 140
Cincinnati, OH 45251
Phone (513) 245-0100

3530 Springdale Rd
Cincinnati, OH 45251
Phone (513) 245-0100

8595 Beechmont Ave
Ste 204
Cincinnati, OH 45255
Phone (513) 474-4123

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1710408323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HEATHER HILL BLVD N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452442666",
            "telephone_number": "513-474-4123",
            "fax_number": "513-474-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SPRINGDALE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511331",
            "telephone_number": "513-245-0100",
            "fax_number": "513-245-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8595 Beechmont Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45255",
            "country_code": "US",
            "telephone_number": "513-474-4123",
            "fax_number": "513-474-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLENKAMP",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "credential": "MA, SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WIESMANN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.