Kellie Sue Marie Butcher, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028998 Issued in NY

Practice address

1545 Sam Rittenberg Blvd Apt 41
Charleston, SC 29407-4121

Phone

(716) 435-5448

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Therapeutic Link for Children

  • Early Intervention Provider Agency
  • Orchard Park, NY
  • NPI 1972784221
  NPD (past)
• Therapeutic Link for Children, PLLC

  • Early Intervention Provider Agency
  • Orchard Park, NY
  • NPI 1508222498
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1912400482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SAM RITTENBERG BLVD APT 41",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074121",
            "telephone_number": "716-435-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SAM RITTENBERG BLVD APT 41",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074121",
            "telephone_number": "716-435-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "KELLIE",
        "middle_name": "SUE MARIE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bush
• John Brenton Bushkar, MD
• Mohammad Bushnaq
• Jerrad Robert Businger, D.O.
• Noah Bussell, PHD, BCB
• Christine Lee Butler, CPNP
• Daniel Chadwick Butler, MD
• Edward George Butler II, M.D.
• Elizabeth Danielle Butler, FNP
• Ian Rivers Butler

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.