Kenyatt Motti Godbolt, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8524 Issued in NC

Practice address

3007 Simmon Tree Rd
Charlotte, NC 28270-0676

Phone

(516) 521-2955

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Godbolt Consultants, Inc.

  dba Walk 2 Talk

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1265866263
  Authorized official Same address or phone

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1841426004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 130TH AVE",
            "address_2": "APT. 9D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343283",
            "telephone_number": "516-521-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 SIMMON TREE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700676",
            "telephone_number": "516-521-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLT",
        "first_name": "KENYATT",
        "middle_name": "MOTTI",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8524",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go Your Own Way, Inc. (Learning Charms)
• Madison Gobbell, PA-C
• God Got You & Your Purpose LLC
• God's Choice Home Agency LLC
• God's Production Ministries Inc
• Tanisha Godbolt
• Lauren Brooke Godbout, PHARMD
• Angela Dawn Goddard, CRNA
• Godel & Associates II PLLC (Charlotte Family Dental Care)
• Godel & Associates II PLLC

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.