Champlain Valley Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CHAMPLAIN VALLEY SPEECH THERAPY

Practice address

294 Old Creamery Rd
Williston, VT 05495-4004

Phone

(802) 324-0675

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline BaroneNPI 1790469773

Title

Owner

Phone

(802) 324-0675

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jacqueline Barone

  • Speech-Language Pathologist
  • Williston, VT
  • NPI 1790469773
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1760166748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 OLD CREAMERY RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 OLD CREAMERY RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954004",
            "telephone_number": "802-324-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "BARONE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-324-0675"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cermenaro, PT, DPT
• Gavin B Chadwell, LCMHC
• Sarah Chadwell, LCMHC
• Champlain Center for Play Therapy and Family Counseling
• Champlain Valley Brace and Limb, L.L.C.
• Taylor Christine Champlin, DPT
• Diane Charland, M.D.
• Maghan Charland, ATC
• Savannah Cheeseman, PHARMD, RPH
• Heather Marie Chernyshov, MS, ATC, NCTMB

• All providers in Williston, VT
• Hearing and Speech Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.