KIDSTLC, INC (NPI# 1780014480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780014480 |
| Entity Type | Organization |
| Organization Name | KIDSTLC, INC |
| Practice Address |
620 S Rogers Rd Olathe KS 66062-1704 |
| Mailing Address |
480 S Rogers Rd Olathe KS 66062-1706 |
| Practice Telephone | 9133243823 |
| Practice Fax Number | 9137803387 |
| Mailing Telephone | 9133243636 |
| Mailing Fax Number | 9137803387 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | MARY THOMAS (CFO) |
| Authorized Official Telephone | 9133243681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KidsTLC, Inc. | 480 S Rogers Rd, Olathe, KS 66062 |
| Street Address |
620 S ROGERS RD |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245404821 | Tracy Lynne Schmitt | Behavioral Analyst | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2008-04-15 |
| 1770091928 | Alexandra Michelle Ball | Behavioral Analyst | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2018-01-22 |
| 1760994776 | Norbi A Forero | Counselor | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2017-10-31 |
| 1225551435 | Alex Sarah Christian | Social Worker | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2017-07-19 |
| 1770956724 | Katelyn Gower | Behavioral Analyst | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2015-11-12 |
| 1518366509 | Crystal Y Hayes | Home Health Aide | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2014-08-15 |
| 1427466671 | Dawn Glasgow | Nurse's Aide | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2014-07-31 |
| 1518385194 | Krystal D Wright | Licensed Practical Nurse | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2014-04-01 |
| 1437583168 | Danielle M Johnson | Psychologist | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2013-08-29 |
| 1295177814 | Kidstlc, Inc. | Community/Behavioral Health | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2013-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040972 | Sheila Fowks | Speech-Language Pathologist | 29200 W 115th St, Olathe, KS 66061-9657 | 2019-12-20 |
| 1386285120 | Kristen Jean Kinkhorst | Speech-Language Pathologist | 16393 S Church St, Olathe, KS 66062-2781 | 2019-10-02 |
| 1205306776 | Lauren Jane-mirocke Harris | Speech-Language Pathologist | 101 W 151st St # 913586, Olathe, KS 66061-5348 | 2018-11-27 |
| 1053866111 | Stacy Rezek | Speech-Language Pathologist | 11189 S Hastings St, Olathe, KS 66061-7153 | 2016-08-18 |
| 1174985907 | Jill Bachtold | Speech-Language Pathologist | 16272 S Chester St, Olathe, KS 66062-3165 | 2016-03-22 |
| 1821458548 | Jennifer Wunderly | Speech-Language Pathologist | 15140 W 157th Ter, Olathe, KS 66062-3674 | 2016-02-24 |
| 1053777052 | Encore Preakness, Inc. | Speech-Language Pathologist | 13875 W 115th Ter, Smrs Office, Olathe, KS 66062-7937 | 2016-01-06 |
| 1083081442 | Allison Colleen Zande | Speech-Language Pathologist | 11680 S Rene Ct, Olathe, KS 66062-5770 | 2015-09-01 |
| 1770959066 | Jennifer L Flenthrope | Speech-Language Pathologist | 15909 W 150th Ter, Olathe, KS 66062-2685 | 2015-08-20 |
| 1831570316 | Aimee Garibay | Speech-Language Pathologist | 12398 S Dunraven St, Olathe, KS 66061-7870 | 2015-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.