Samantha Rae Koss, MS, CCC-SLP

Speech-Language Pathologist · Pineville, NC

Individual Active NPI

NPI number 1114756830

Practice location

11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Phone
(704) 541-9080

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NPI record

NPI
1114756830
Entity type
Individual (Type 1)
Enumeration date
July 31, 2024
Last updated
August 21, 2026
Certified
August 21, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 30005011 NC
Speech-Language Pathologist 235Z00000X 8421 SC

Mailing address

3528 Enfield Rd
Charlotte, NC 28205-4408

About Samantha Koss

Samantha Rae Koss, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 11940 Carolina Place Pkwy Ste 200, Pineville, NC 28134-7471. The NPI number 1114756830 was assigned on July 31, 2024 and the record was last updated on August 21, 2026.

Samantha Koss lists 2 licenses in the registry: #30005011 (NC) for Speech-Language Pathologist; #8421 (SC) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samantha Rae Koss, MS, CCC-SLP?

The NPI number is 1114756830.

What is the phone number of Samantha Koss?

The phone number listed for the practice location is (704) 541-9080.

Where is Samantha Koss located?

11940 Carolina Place Pkwy Ste 200, Pineville, NC 28134-7471.

What is the taxonomy code for Samantha Koss?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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