Active NPI
Mary Elizabeth Lentz, MS, ED, CCC-SLP
- Speech-Language Pathologist
- Tucson, AZ
National Provider Identifier
1053097402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP14553
- Practice address
- 1862 W King Ave
Tucson, AZ 85713-2634 - Phone
- (757) 777-4540
- NPI assigned
- Jun 22, 2023
- Reactivated
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204001053 | VA | |
| Speech-Language Pathologist | 235Z00000X | SLP14553 | AZ | Primary |
Addresses
Primary practice location
1862 W King Ave
Tucson, AZ 85713-2634
Mailing address
1862 W King Ave
Tucson, AZ 85713-2634
Phone (757) 777-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP14553 | AZ | MD | Speech-Language Pathologist |
| 2204001053 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North End Therapy Group, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Tucson, AZ
- NPI 1871425322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1053097402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 W KING AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857132634",
"telephone_number": "757-777-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 W KING AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857132634",
"telephone_number": "757-777-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "MS, ED, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"deactivation_date": "2023-07-06",
"reactivation_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204001053",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP14553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.