NPIMap

Organization Active NPI

Associated Speech and Language Specialists LLC

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1881636223
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ASSOCIATED SPEECH AND LANGUAGE SPECIALISTS LLC
Practice address
561 W 7TH St
St Paul, MN 55102
Phone
(651) 225-4558
Fax
(651) 225-9474
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Janet Jacobs, MA CCCNPI 1962627729
Title
Chief Manager and Co Owner
Phone
(651) 639-0942

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 PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

561 W 7TH St
St Paul, MN 55102

Mailing address

561 W 7TH St
St Paul, MN 55102
Phone (651) 225-4558

Other identifiers 1

IdentifierTypeStateIssuer
5G054ASOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709001670 MN Part B Supplier - Clinic/Group Practice 1456663160 Receives reassigned benefits from 16 practitioners
Practice locations: Maplewood, MN; St Paul, MN; Plymouth, MN; Arden Hills, MN

National Provider Directory

National Provider Directory
Tax ID family
Associated Speech and Language2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1705 Cope Ave E
Maplewood, MN 55109
Phone (651) 773-0354

2385 Ariel St N
#B
Maplewood, MN 55109
Phone (651) 773-3208

3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354

6 Pine Tree Dr
Ste 300
Saint Paul, MN 55112
Phone (651) 639-0942

2395 Ariel St N
#B
Saint Paul, MN 55109
Phone (651) 773-3208

6 Pine Tree Dr
Ste 330
Saint Paul, MN 55112
Phone (651) 639-0942

3490 Lexington Ave N
Ste 305
Shoreview, MN 55126
Phone (651) 639-0942

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1881636223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W 7TH ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-225-4558",
            "fax_number": "651-225-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W 7TH ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-225-4558",
            "fax_number": "651-225-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED SPEECH AND LANGUAGE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CHIEF MANAGER AND CO OWNER",
        "authorized_official_telephone_number": "651-639-0942",
        "authorized_official_credential": "MA CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5G054AS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.