Individual provider Active NPI

Mary Elizabeth Greco, CCC/SLP

  • Speech-Language Pathologist
  • Santa Maria, CA
National Provider Identifier
1063831253
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13372 Issued in CA
Practice address
1414 S Miller St Ste 10G
Santa Maria, CA 93454-6916
Phone
(805) 750-7800
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13372 CA Primary

Addresses

Primary practice location

1414 S Miller St Ste 10G
Santa Maria, CA 93454-6916

Mailing address

305 Gonzales Dr
Los Alamos, CA 93440-5012
Phone (805) 895-3123

Other practice location 1

305 Gonzales Dr
Los Alamos, CA 93440-5012
Phone (805) 895-3123

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

State licenses

LicenseStateTypeSpecialty
13372CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1063831253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GONZALES DR",
            "city": "LOS ALAMOS",
            "state": "CA",
            "postal_code": "934405012",
            "telephone_number": "805-895-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST STE 10G",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546916",
            "telephone_number": "805-750-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Gonzales Dr",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "CA",
            "postal_code": "934405012",
            "country_code": "US",
            "telephone_number": "805-895-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.