Organization Active NPI

Street Simple Therapy Inc.

  • Speech-Language Pathologist
  • Beavercreek, OH
National Provider Identifier
1760156723
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STREET SIMPLE THERAPY INC.
Practice address
1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677
Phone
(937) 210-4565
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Mrs. Debbie-Ann Cecile Brooks, CCC-SLP
Title
Speech Language Pathologist
Phone
(801) 867-3894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677

Mailing address

1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677
Phone (937) 210-4565

National Provider Directory

National Provider Directory

Locations

1370 N Fairfield Rd
Ste G
Beavercreek, OH 45432
Phone (937) 210-4565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1760156723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N FAIRFIELD RD STE G",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322677",
            "telephone_number": "937-210-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N FAIRFIELD RD STE G",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322677",
            "telephone_number": "937-210-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET SIMPLE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBBIE-ANN",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "801-867-3894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.