Individual provider Active NPI

Emily Henzlik, M.A., SLP

  • Speech-Language Pathologist
  • Leawood, KS
National Provider Identifier
1831607944
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2016024794 Issued in MO
Practice address
3701 W 106TH St Apt 330
Leawood, KS 66206-8515
Phone
(316) 655-0774
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2016024794 MO Primary

Addresses

Primary practice location

3701 W 106TH St Apt 330
Leawood, KS 66206-8515

Mailing address

3701 W 106TH St Apt 330
Leawood, KS 66206-8515
Phone (316) 655-0774

Other practice location 1

2304 SW Tracker Ln
Lees Summit, MO 64082-1435
Phone (816) 914-9319

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 Arts

State licenses

LicenseStateTypeSpecialty
2016024794MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Language Solutions, LLC Speech-Language Pathologist Past Accepting new patients

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831607944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W 106TH ST APT 330",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662068515",
            "telephone_number": "316-655-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W 106TH ST APT 330",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662068515",
            "telephone_number": "316-655-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 SW Tracker Ln",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640821435",
            "country_code": "US",
            "telephone_number": "816-914-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENZLIK",
        "first_name": "EMILY",
        "credential": "M.A., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016024794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.