TLC Speech Therapy, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000037 Issued in CO

Legal business name

TLC SPEECH THERAPY, INC

Practice address

626 Golden Eagle Cir
Golden, CO 80401-0909

Phone

(303) 883-2293

Fax

(866) 543-7981

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Josi Amanda Wagner Bermank, M.S., CCC-SLP

Title

Owner/Speech Pathologist

Phone

(303) 883-2293

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1831516285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 GOLDEN EAGLE CIR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010909",
            "telephone_number": "303-883-2293",
            "fax_number": "866-543-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 GOLDEN EAGLE CIR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010909",
            "telephone_number": "303-883-2293",
            "fax_number": "866-543-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER BERMANK",
        "authorized_official_first_name": "JOSI",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "303-883-2293",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "0000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03051781",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "12040893",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE #",
            "identifier": "0000037",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Gabrielle Thurston
• Chelsea Tidwell, PA-C
• Wendy Tillman, RN
• Kimberly Ann Tingle, FNP-C
• Celsa Tan Tiu, MD
• Anastassia V. Todor
• Seth Tolbert, MA, LPCC
• Alexandra Toliver, MA CCC SLP
• Ashley Toombs
• Robert S Torgerson, MA, LPC, CACII

• Home Health Agency in Golden, CO
• Providers in Golden, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.