Individual provider Active NPI

Stacy Marie Griesheimer, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Chillicothe, OH
National Provider Identifier
1013572478
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA18417 Issued in FL
Practice address
167 W Main St
Chillicothe, OH 45601-3107
Phone
(740) 773-8044
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP09439 OH
Speech-Language Pathologist 235Z00000X SA18417 FL Primary

Addresses

Primary practice location

167 W Main St
Chillicothe, OH 45601-3107

Mailing address

838 Hanna LN
Londonderry, OH 45647-9755
Phone (740) 253-8948

Other names 1

  • Stacy Marie Frazier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250306001581 TX Practitioner - Qualified Speech Language Pathologist 4486175460 Reassigns benefits to 1 organization
I20250306003846 FL Practitioner - Qualified Speech Language Pathologist 4486175460 Reassigns benefits to 1 organization
I20250310003274 CA Practitioner - Qualified Speech Language Pathologist 4486175460 Reassigns benefits to 1 organization
I20250312003452 OH Practitioner - Qualified Speech Language Pathologist 4486175460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

300 E Business Way
Suite 200
Cincinnati, OH 45241-2389
Phone (512) 399-0064

3800 N Lamar Blvd
Suite 200
Austin, TX 78756-0003
Phone (512) 377-6318

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP09439OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 14, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

300 E Business Way
Cincinnati, OH 45241
Phone (513) 349-1014

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1013572478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 HANNA LN",
            "city": "LONDONDERRY",
            "state": "OH",
            "postal_code": "456479755",
            "telephone_number": "740-253-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013107",
            "telephone_number": "740-773-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHEIMER",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP09439",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "FRAZIER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.