Organization Active NPI

Consolidated Therapies, LLC

  • Speech-Language Pathologist
  • Southaven, MS
National Provider Identifier
1730552571
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3893 Issued in MS
Legal business name
CONSOLIDATED THERAPIES, LLC
Practice address
5699 Getwell Rd
Building H, Suite 1
Southaven, MS 38672-6347
Phone
(662) 470-4187
Fax
(662) 391-4236
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Mrs. Rhonda Huggins Mitias, M.A.,M.S.,CCC-A/SLP
Title
Speech Language Pathologist
Phone
(901) 275-0896

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X A2851 MS
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X S3893 MS Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

5699 Getwell Rd
Building H, Suite 1
Southaven, MS 38672-6347

Mailing address

5699 Getwell Rd
Building H, Suite 1
Southaven, MS 38672-6347
Phone (662) 470-4187

Other identifiers 2

IdentifierTypeStateIssuer
04852570MedicaidMS
04729074MedicaidMS

National Provider Directory

National Provider Directory

Locations

5699 Getwell Rd
Bldg H1
Southaven, MS 38672
Phone (662) 510-8247

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1730552571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 GETWELL RD",
            "address_2": "BUILDING H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726347",
            "telephone_number": "662-470-4187",
            "fax_number": "662-391-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 GETWELL RD",
            "address_2": "BUILDING H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726347",
            "telephone_number": "662-470-4187",
            "fax_number": "662-391-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "MITIAS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "HUGGINS",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "901-275-0896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,M.S.,CCC-A/SLP"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A2851",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3893",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04852570",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04729074",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.