Individual provider Active NPI

Teresa Cohenno

  • Speech-Language Pathologist
  • Beverly Hills, CA
National Provider Identifier
1922490770
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9657 Issued in CA
Practice address
292 S la Cienega Blvd # 250
Beverly Hills, CA 90211-3330
Phone
(310) 866-9958
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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 9657 CA Primary

Addresses

Primary practice location

292 S la Cienega Blvd # 250
Beverly Hills, CA 90211-3330

Mailing address

1456 Avolencia Dr
Fullerton, CA 92835-3705
Phone (714) 624-6338

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
9657CAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive and Shine Speech Therapy, Inc. Speech-Language Pathologist PastSince Feb 1, 2015 Accepting new patients
Cassi Alter, Licensed Speech Language, a Professional Organization Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1922490770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 AVOLENCIA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353705",
            "telephone_number": "714-624-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD # 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113330",
            "telephone_number": "310-866-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHENNO",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.