Tasha L Gibson, M.S., CCC SLP L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3612 Lincoln Hwy
Suite 2
Olympia Fields, IL 60461-1627

Phone

(708) 283-0411

Fax

(708) 283-3974

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Speech Enhancement Diagnostic & Treatment Services, Inc.

  • Speech-Language Pathologist
  • Olympia Fields, IL
  • NPI 1982876769
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841312931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-283-0411",
            "fax_number": "708-283-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-283-0411",
            "fax_number": "708-283-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TASHA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC SLP L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations Therapy & Counseling
• Gentle Heart Care Services LLC
• Daniel G. Gerk, PT
• Hunter Jeffrey Gervais, DO
• Seema Ghaffar
• Taryn Giddings
• Maureen J Giglio, APRN BC
• Aaliyah Gilbert
• Vladislav Glusac, MD
• Alex Goins, DC

• Speech-Language Pathologist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.