Individual provider Active NPI

Alexis J Page, M.S. CCC-SLP

  • Speech-Language Pathologist
  • North Charleston, SC
National Provider Identifier
1801199740
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7845 Issued in SC
Practice address
8310 Rivers Ave Ste D
North Charleston, SC 29406-9268
Phone
(843) 588-5677
Fax
(855) 632-2877
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 020361-1 NY
Speech-Language Pathologist 235Z00000X 7845 SC Primary

Addresses

Primary practice location

8310 Rivers Ave Ste D
North Charleston, SC 29406-9268

Mailing address

379 Azore Way
Summerville, SC 29486-2437
Phone (845) 926-8311

Other practice location 1

75 Crystal Run Rd Ste 201
Middletown, NY 10941-7010
Phone (845) 692-4391

Other identifiers 1

IdentifierTypeStateIssuer
SA2674MedicaidSC

Other names 1

  • Alexis J Valle 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7845SCMDOccupational Therapist
020361-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Matters Consulting SC Speech-Language Pathologist CurrentSince Dec 22, 2024 Accepting new patients

Locations

8310 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 588-5677

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1801199740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 AZORE WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862437",
            "telephone_number": "845-926-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 RIVERS AVE STE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069268",
            "telephone_number": "843-588-5677",
            "fax_number": "855-632-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Crystal Run Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109417010",
            "country_code": "US",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ALEXIS",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020361-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA2674",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "VALLE",
            "middle_name": "J",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.