Organization Active NPI

Gwen'S Speech Therapy PC

  • Speech-Language Pathologist
  • Franklin, NC
National Provider Identifier
1922595800
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8653 Issued in NC
Legal business name
GWEN'S SPEECH THERAPY PC
Practice address
310 Terrell Rd
Franklin, NC 28734
Phone
(828) 371-3940
Fax
(828) 369-3940
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Gwen Fowler-Berken, MS, CCC-SLPNPI 1447546312
Title
Speech Language Pathologist
Phone
(828) 332-7144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 8653 NC Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

310 Terrell Rd
Franklin, NC 28734

Mailing address

310 Terrell Rd
Franklin, NC 28734-8765
Phone (828) 371-3940

Other practice location 1

236 Cunningham Rd Ste 6
Franklin, NC 28734-7627
Phone (828) 371-3940

Other practice location 2

236 Cunningham Rd Ste 6
Franklin, NC 28734-7627
Phone (828) 371-3940

Other identifiers 6

IdentifierTypeStateIssuer
1447546312OtherNCBLUE CROSS BLUE SHIELD
741098OtherHUMANA
9107845OtherAETNA
ATN375312MedicaidGA
056344OtherUNITED HEALTHCARE
7413695MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107001353 NC Part B Supplier - Clinic/Group Practice 7416201660 Receives reassigned benefits from 4 practitioners
Practice locations: Franklin, NC

National Provider Directory

National Provider Directory

Locations

310 Terrell Rd
Franklin, NC 28734
Phone (828) 371-3940

236 Cunningham Rd
Ste 6
Franklin, NC 28734
Phone (828) 332-7144

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1922595800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TERRELL RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287348765",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TERRELL RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Cunningham Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287347627",
            "country_code": "US",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-7497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Cunningham Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287347627",
            "country_code": "US",
            "telephone_number": "828-371-3940",
            "fax_number": "828-369-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GWEN'S SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "FOWLER-BERKEN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "828-332-7144",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8653",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1447546312",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "741098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9107845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ATN375312",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "056344",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413695",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.