Individual provider Active NPI

Chloe Converse, CCC-SLP CBIS

  • Speech-Language Pathologist
  • Johnston, IA
National Provider Identifier
1750881074
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
087801 Issued in IA
Practice address
5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone
(515) 727-8750
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 087801 IA Primary

Addresses

Primary practice location

5406 Merle Hay Rd
Johnston, IA 50131-1209

Mailing address

1377 11TH St NW
Clinton, IA 52732-5068
Phone (563) 241-4230

Other practice location 1

2016 Cedar Plaza Dr Ste 9
Muscatine, IA 52761-2286
Phone (563) 241-4230

Other practice location 2

4440 N Brady St Unit 2
Davenport, IA 52806-4009
Phone (563) 241-4230

Other practice location 3

607 Myatt Dr
Maquoketa, IA 52060-3343
Phone (563) 241-4230

Other practice location 4

1377 11th St NW
Clinton, IA 52732-5068
Phone (563) 241-4230

Other names 1

  • Chloe Benjamin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
087801IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Childserve Therapy, 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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1750881074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 11TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325068",
            "telephone_number": "563-241-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 Cedar Plaza Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527612286",
            "country_code": "US",
            "telephone_number": "563-241-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 N Brady St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528064009",
            "country_code": "US",
            "telephone_number": "563-241-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Myatt Dr",
            "address_purpose": "LOCATION",
            "city": "Maquoketa",
            "state": "IA",
            "postal_code": "520603343",
            "country_code": "US",
            "telephone_number": "563-241-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1377 11th St NW",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527325068",
            "country_code": "US",
            "telephone_number": "563-241-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONVERSE",
        "first_name": "CHLOE",
        "credential": "CCC-SLP CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "087801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "BENJAMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.