Individual provider Active NPI

Ellen M Berger, MA CCC-SLP

  • Speech-Language Pathologist
  • Lone Tree, CO
National Provider Identifier
1942883806
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14081731 Issued in CO
Practice address
10100 Commons St
Lone Tree, CO 80124-5645
Phone
(720) 738-4767
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 14081731 CO Primary

Addresses

Primary practice location

10100 Commons St
Lone Tree, CO 80124-5645

Mailing address

6634 Green River Dr Unit E
Highlands Ranch, CO 80130-6748
Phone (641) 390-0541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002969 CO Practitioner - Qualified Speech Language Pathologist 6305222423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14081731COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, P.C. Single Specialty CurrentSince Jun 18, 2022 Accepting new patients
Village Physical Therapy, PC Single Specialty CurrentSince Oct 12, 2025 Accepting new patients
Village Physical Therapy, P.C. Single Specialty CurrentSince Jun 18, 2022 Accepting new patients

Locations

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919
Phone (720) 360-4519

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1942883806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 GREEN RIVER DR UNIT E",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306748",
            "telephone_number": "641-390-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245645",
            "telephone_number": "720-738-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14081731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.