Callie Ann Venable, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-4971 Issued in MS

Practice address

318 Kendall Ave
McComb, MS 39648-2854

Phone

(601) 600-2633

Fax

(601) 385-1626

NPI assigned

Oct 13, 2023

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

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Synergy Care Southeast LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055

  Speech-Language Pathologist

  Medicare reassignment NPD
• Clements Speech Therapy, LLC

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1487157624
  NPD
• Synergy Care Southeast, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1851173900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 KENDALL AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482854",
            "telephone_number": "601-600-2633",
            "fax_number": "601-385-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 KENDALL AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482854",
            "telephone_number": "601-600-2633",
            "fax_number": "601-385-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "CALLIE",
        "middle_name": "ANN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-4971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van R Simmons DMD PA
• Diane Van, DNP, FNP
• Tresea Vangilder
• Robert Vanuden, MD
• Frank Varino Jr.
• Stephen Vennum III
• Vibrant Lab Solutions, LLC
• Sherlene Vince, LMSW
• Heidi L Vine, PHD
• Courtney Vosika, LPTA

• Speech-Language Pathologist in McComb, MS
• Providers in McComb, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.