NPIMap

Organization Active NPI

Coastal Speech and Language Center, LLC

  • Hearing and Speech Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1932899523
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
COASTAL SPEECH AND LANGUAGE CENTER, LLC
Practice address
32 Cherokee CT W
Palm Coast, FL 32137-8968
Phone
(386) 346-0523
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Jennifer Duckworth, MS, CCC-SLPNPI 1588813182
Title
Owner, Speech-Language Pathologist
Phone
(386) 346-0523

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

32 Cherokee CT W
Palm Coast, FL 32137-8968

Mailing address

55 Plaza Dr Ste 6
Palm Coast, FL 32137-8550
Phone (386) 346-0523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506001096 FL Part B Supplier - Clinic/Group Practice 4082182266 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory
Tax ID family
Coastal Speech and Language Center2 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

55 Plaza Dr
Unit D6
Palm Coast, FL 32137
Phone (386) 227-7534

55 Plaza Dr
Ste 6
Palm Coast, FL 32137
Phone (386) 212-9995

Practitioners & affiliated clinicians

Practitioners 4

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1932899523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAZA DR STE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378550",
            "telephone_number": "386-346-0523",
            "fax_number": "386-777-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHEROKEE CT W",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378968",
            "telephone_number": "386-346-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPEECH AND LANGUAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "386-346-0523",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.