Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104436708 Individual Practitioner Female Practitioner

Amanda Jean Peters , MA, CCC-SLP

Speech-Language Pathologist • Madison, WI

Professional Overview & Biography Verified Profile Summary

Amanda Peters, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Madison, WI. Practice services are available at 128 E OLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

128 E Olin Ave

Madison, WI 537131467

Telephone 6082521320
Fax 6082521333
Associated Practice Facility / Clinic
🏢 Family Service Madison Inc Facility NPI 1881806198

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
369 Specialists

Practicing in Madison, WI (3821 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 116037

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wi Department Of Safety And Professional Services
6093 (WI)

Secondary Practice Locations

9737 Great Hills Trl Ste 120

Austin, TX 787596418

Phone: 5128722180

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kaitlin Welsh , MSW, CAPSW

Social Worker - Clinical

NPI 1033072111

Master of Social Work, CAPSW

NPI 1043798127

Master of Social Work, CAPSW

Rebekah Melton , MS CCC, SLP

Speech-Language Pathologist

NPI 1104073725

MSCCC, Speech-Language Pathologist

NPI 1124752159

Master of Social Work, CAPSW

NPI 1134618655
Heidi Rozek , SAC, LPC-IT

Counselor - Professional

NPI 1154094951

SAC, LPCIT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 17, 2022

Registered at 128 E OLIN AVE, MADISON, WI 537131467 (Tel: 6082521320)

👤
Provider Name / Credentials Updated November 17, 2022

Recorded as AMANDA PETERS, M.A., CCC-SLP

NPI Profile Active August 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2020

Registered at 9737 GREAT HILLS TRL STE 120, AUSTIN, TX 787596418 (Tel: 5128722180)

📍
Updated Business Mailing Address August 07, 2020

Registered at 7201 RANCH ROAD 2222 APT 1318, AUSTIN, TX 787303214 (Tel: 2247031824)

👤
Provider Name / Credentials Updated August 07, 2020

Recorded as AMANDA CARLSON, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2020

Speech-Language Pathologist (License #116037 in TX)

🟢
Initial NPI Registration & Enumeration August 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104436708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2020
Last Update: November 17, 2022
Sole Proprietor: No

Mailing Address

7201 Ranch Road 2222 Apt 1318

Austin, TX 787303214

Phone: 2247031824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.