Organization Active NPI

Crystal Clear Language Services, Inc.

  • Speech-Language Pathologist
  • Smyrna, GA
National Provider Identifier
1770244451
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CRYSTAL CLEAR LANGUAGE SERVICES, INC.
Practice address
4480 S Cobb Dr SE Ste H274
Smyrna, GA 30080-6990
Phone
(678) 472-0655
Fax
(678) 306-1843
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Christy DixonNPI 1144479676
Title
Ceo
Phone
(678) 472-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4480 S Cobb Dr SE Ste H274
Smyrna, GA 30080-6990

Mailing address

4480 S Cobb Dr SE Ste H274
Smyrna, GA 30080-6990
Phone (678) 472-0655

National Provider Directory

National Provider Directory
Tax ID family
Crystal Clear Language Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4480 S Cobb Dr SE
Ste H274
Smyrna, GA 30080
Phone (678) 472-0655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1770244451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 S COBB DR SE STE H274",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806990",
            "telephone_number": "678-472-0655",
            "fax_number": "678-306-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 S COBB DR SE STE H274",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806990",
            "telephone_number": "678-472-0655",
            "fax_number": "678-306-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR LANGUAGE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-472-0655"
    },
    "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 Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.