Organization Active NPI

Therapeutic Communication Services, Inc

  • Speech-Language Pathologist
  • Mouth of Wilson, VA
National Provider Identifier
1972626877
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1548 Issued in NC
Legal business name
THERAPEUTIC COMMUNICATION SERVICES, INC
Practice address
154 Rain Wood LN
Mouth of Wilson, VA 24363-3502
Phone
(919) 612-6550
NPI assigned
Apr 8, 2007
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Diana Goodwin
Title
President
Phone
(919) 612-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1548 NC Primary

Addresses

Primary practice location

154 Rain Wood LN
Mouth of Wilson, VA 24363-3502

Mailing address

154 Rain Wood LN
Mouth of Wilson, VA 24363-3502
Phone (919) 612-6550

Other identifiers 2

IdentifierTypeStateIssuer
1972626877MedicaidVA
0274EOtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1972626877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 RAIN WOOD LN",
            "city": "MOUTH OF WILSON",
            "state": "VA",
            "postal_code": "243633502",
            "telephone_number": "919-612-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 RAIN WOOD LN",
            "city": "MOUTH OF WILSON",
            "state": "VA",
            "postal_code": "243633502",
            "telephone_number": "919-612-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COMMUNICATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-612-6550"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972626877",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0274E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mouth of Wilson, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.