Individual provider Active NPI

Debra Anne Ciarlo, SLP, LMHC

  • Speech-Language Pathologist
  • Wenatchee, WA
National Provider Identifier
1750505426
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003214 Issued in WA
Practice address
210 Methow St
Wenatchee, WA 98801-2927
Phone
(509) 662-3762
Fax
(509) 662-3762
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00010914 WA
Speech-Language Pathologist 235Z00000X LL00003214 WA Primary

Addresses

Primary practice location

210 Methow St
Wenatchee, WA 98801-2927

Mailing address

210 Methow St
Wenatchee, WA 98801-2927
Phone (509) 662-3762

Other identifiers 1

IdentifierTypeStateIssuer
7088370MedicaidWA

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

LicenseStateTypeSpecialty
LH00010914WAMDMental Health Counselor
LL00003214WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Christian Counseling, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1750505426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 METHOW ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012927",
            "telephone_number": "509-662-3762",
            "fax_number": "509-662-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 METHOW ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012927",
            "telephone_number": "509-662-3762",
            "fax_number": "509-662-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARLO",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "SLP, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010914",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7088370",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.