Organization Active NPI

Little Minds Speech Therapy LLC

  • Speech-Language Pathologist
  • Bruceton Mills, WV
National Provider Identifier
1841921350
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LITTLE MINDS SPEECH THERAPY LLC
Practice address
90 Horseshoe Dr W
Bruceton Mills, WV 26525-7300
Phone
(814) 335-2836
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Stephanie FerragineNPI 1609535418
Title
Speech Language Pathologist/Owner
Phone
(814) 335-2836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

90 Horseshoe Dr W
Bruceton Mills, WV 26525-7300

Mailing address

90 Horseshoe Dr W
Bruceton Mills, WV 26525-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120001703 WV Part B Supplier - Clinic/Group Practice 4284005729 Receives reassigned benefits from 2 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

1253 Canyon Rd
Ste 21
Morgantown, WV 26508
Phone (304) 406-6162

170 Lakeview Dr
Ste 2C
Morgantown, WV 26508
Phone (304) 406-6162

170 Lakeview Dr
Ste 4
Morgantown, WV 26508
Phone (304) 974-0422

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1841921350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HORSESHOE DR W",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265257300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HORSESHOE DR W",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265257300",
            "telephone_number": "814-335-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MINDS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "FERRAGINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "814-335-2836"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bruceton Mills, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.