FOREST LAKE AUDIOLOGY LLC (NPI# 1407212525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407212525 |
| Entity Type | Organization |
| Organization Name | FOREST LAKE AUDIOLOGY LLC |
| Practice Address |
5301 N Trenholm Rd Suite A Columbia SC 29206-3226 |
| Practice Telephone | 8038887330 |
| Mailing Telephone | 8038887330 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | DR. TODD GIBSON (OWNER) |
| Authorized Official Telephone | 8038887330 |
| Authorized Official Credential | AUDIOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | SC3435 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
5301 N TRENHOLM RD SUITE A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582868 | Franklin J Klohn Jr. | Psychologist | 5301 N Trenholm Rd, Suite C, Columbia, SC 29206-3226 | 2006-05-09 |
| 1578784815 | Klohn Psychology Service, Pa | Psychologist | 5301 N Trenholm Rd, Suite C, Columbia, SC 29206-3226 | 2007-05-02 |
| 1811053465 | Lisa Smith Klohn | Psychologist | 5301 N Trenholm Rd, Suite C, Columbia, SC 29206-3226 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197236 | Dakota Michael Sharp | Audiologist | 1705 College St Ste 220, Columbia, SC 29201-3917 | 2019-07-30 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1295104388 | Beth Inskeep Mccall | Audiologist | 1224 Sumter Street, Suite 300, Columbia, SC 29201 | 2015-09-18 |
| 1538569470 | Connect Hearing, Inc. | Audiologist | 960 Columbia Ctr, Columbia, IL 62236-2545 | 2014-08-28 |
| 1093059115 | Sharon B Langley | Audiologist | 7132 Parklane Rd, Ste D, Columbia, SC 29223-7643 | 2012-11-15 |
| 1881966877 | Virginia Best Bailey | Audiologist | 1891 Washington Rd, Columbia, SC 29207-6702 | 2012-02-06 |
| 1821378217 | Jessica R Teymouri | Audiologist | 4809 Clark Ln Apt 105, Columbia, MO 65202-0040 | 2011-08-17 |
| 1629242268 | Tricia Renee Kaufmann | Audiologist | 27 Conley Rd, Suite 107, Columbia, MO 65201-6480 | 2008-04-15 |
| 1184895880 | Karen E. Bauer | Audiologist | 1213 Subella Dr, Columbia, MO 65203-0833 | 2008-03-20 |
| 1225209927 | Patricia A. Beringer | Audiologist | 27 Conley Rd Ste 107, Columbia, MO 65201-7227 | 2008-03-20 |
| Find all providers in COLUMBIA | ||||
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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.