Active NPI
Colleen Geil, M.S. CCC/SLP
- Speech-Language Pathologist
- Pine Haven, WY
National Provider Identifier
1902347669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-370
- Practice address
- 9 Spruce St
Pine Haven, WY 82721-9737 - Phone
- (307) 704-0508
- Fax
- (307) 274-3556
- NPI assigned
- Mar 14, 2017
- Last updated
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-370 | WY | Primary |
Addresses
Primary practice location
9 Spruce St
Pine Haven, WY 82721-9737
Mailing address
9 Spruce St
Pine Haven, WY 82721-9737
Phone (307) 704-0508
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 370 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| SP-370 | WY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1902347669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SPRUCE ST",
"city": "PINE HAVEN",
"state": "WY",
"postal_code": "827219737",
"telephone_number": "307-704-0508",
"fax_number": "307-274-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SPRUCE ST",
"city": "PINE HAVEN",
"state": "WY",
"postal_code": "827219737",
"telephone_number": "307-704-0508",
"fax_number": "307-274-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIL",
"first_name": "COLLEEN",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Haven, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.