NPIMap

Organization Active NPI

Alexander and Associates Speech Language Pathology LLC

  • Speech-Language Pathologist
  • London, KY
National Provider Identifier
1942675608
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
141468 Issued in KY
Legal business name
ALEXANDER AND ASSOCIATES SPEECH LANGUAGE PATHOLOGY LLC
Practice address
181 Old Whitley Rd
London, KY 40744-8211
Phone
(606) 330-0223
NPI assigned
Dec 7, 2015
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Mrs. Greta Alicia Alexander, CCC-SLPNPI 1518332584
Title
Owner
Phone
(606) 682-9579

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104617 KY
Physical Therapist 225100000X 001886 KY
Occupational Therapist 225X00000X 135676 KY
Speech-Language Pathologist 235Z00000X 141468 KY Primary

Addresses

Primary practice location

181 Old Whitley Rd
London, KY 40744-8211

Mailing address

181 Old Whitley Rd
London, KY 40744-8211
Phone (606) 330-0223

Other practice location 1

1957 S US Highway 25E Ste 1
Barbourville, KY 40906-7600
Phone (606) 330-0223

Other names 1

  • Southeast Kentucky Speech Language Pathology, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126002562 KY Part B Supplier - Clinic/Group Practice 2163725003 Receives reassigned benefits from 10 practitioners
Practice locations: Barbourville, KY; London, KY

National Provider Directory

National Provider Directory

Locations

1957 S US Highway 25E
Ste 1
Barbourville, KY 40906
Phone (606) 330-0223

1075 E 4th St
Ste 2
London, KY 40741
Phone (606) 330-0223

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1942675608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1957 S US Highway 25E Ste 1",
            "address_purpose": "LOCATION",
            "city": "Barbourville",
            "state": "KY",
            "postal_code": "409067600",
            "country_code": "US",
            "telephone_number": "606-330-0223",
            "fax_number": "606-330-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDER AND ASSOCIATES SPEECH LANGUAGE PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-682-9579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104617",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001886",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "135676",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "141468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Kentucky Speech Language Pathology, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southeast Kentucky Speech Language Pathology, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.