Individual provider Active NPI

Kayla McCourt

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1861024333
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2167 Issued in NV
Practice address
9436 Steeplehill Dr
Las Vegas, NV 89117-7270
Phone
(702) 286-3061
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 SP-2167 NV Primary

Addresses

Primary practice location

9436 Steeplehill Dr
Las Vegas, NV 89117-7270

Mailing address

9436 Steeplehill Dr
Las Vegas, NV 89117-7270
Phone (702) 286-3061

Other identifiers 1

IdentifierTypeStateIssuer
SP-2167OtherNVNEVADA BOARD OF AUDIOLOGY AND SPEECH PATHOLOGY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactus@growtherapynv.com Grow Therapy NV

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

State licenses

LicenseStateTypeSpecialty
SP-2167NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Therapy NV PastSince Sep 29, 2019 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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861024333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 STEEPLEHILL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177270",
            "telephone_number": "702-286-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 STEEPLEHILL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177270",
            "telephone_number": "702-286-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF AUDIOLOGY AND SPEECH PATHOLOGY",
            "identifier": "SP-2167",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@growtherapynv.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Grow Therapy NV",
            "address_1": "9321 Colorful Rainbow Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891663777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.