Individual provider Active NPI

Shannon Kammholz

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1942606595
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26569 Issued in CA
Practice address
12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542
Phone
(303) 710-5631
NPI assigned
Nov 10, 2014
Last updated
Jun 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X 26569 CA Primary

Addresses

Primary practice location

12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542

Mailing address

817 10TH St Unit 102
Santa Monica, CA 90403-1619
Phone (303) 710-5631

Other identifiers 1

IdentifierTypeStateIssuer
F8089848OtherCASELF

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Santamonicaspeaks.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Stevens Speech Pathology LLC Single Specialty CurrentSince Nov 26, 2023 Accepting new patients
Sharon Hansel-Cohen and Associates Past Accepting new patients
Sharon Hensel-Cohen and Associates Single Specialty Past Accepting new patients

Locations

12304 Santa Monica Blvd
Ste 364
Los Angeles, CA 90025
Phone (303) 710-5631

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1942606595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 10TH ST UNIT 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031619",
            "telephone_number": "303-710-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "303-710-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMHOLZ",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF",
            "identifier": "F8089848",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Santamonicaspeaks.com",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12304 Santa Monica Blvd Ste 208",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900252587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.