Active NPI
Zachary Kopp, CCC-SLP
- Speech-Language Pathologist
- Marietta, GA
National Provider Identifier
1720659386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 77315
- Practice address
- 1860 Sandy Plains Rd Ste 204
Marietta, GA 30066-7864 - Phone
- (678) 460-6522
- NPI assigned
- Jul 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 77315 | MA | Primary |
Addresses
Primary practice location
1860 Sandy Plains Rd Ste 204
Marietta, GA 30066-7864
Mailing address
1860 Sandy Plains Rd Ste 204
Marietta, GA 30066-7864
Phone (678) 460-6522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77315 | Other | MA | COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| 14275454 | Other | AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION | |
| 32219 | Other | CA | SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID DISPENSERS BOARD |
| SLP011526 | Other | GA | STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77315 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Care Speech and Language Therapy, LLP | Speech-Language Pathologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Creative Care Speech
- Speech-Language Pathologist
- Brighton, MA
- NPI 1497326060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1720659386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 SANDY PLAINS RD STE 204",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300667864",
"telephone_number": "678-460-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 SANDY PLAINS RD STE 204",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300667864",
"telephone_number": "678-460-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPP",
"first_name": "ZACHARY",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-06",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "77315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "77315",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION",
"identifier": "14275454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
"identifier": "32219",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "SLP011526",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.