Individual provider Active NPI

Virginia Coughlin Weill, SLP

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1083178461
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2774 Issued in ME
Practice address
100 Campus Dr Unit 121
Scarborough, ME 04074-7172
Phone
(207) 396-7760
Fax
(207) 396-8500
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 SP2774 ME Primary

Addresses

Primary practice location

100 Campus Dr Unit 121
Scarborough, ME 04074-7172

Mailing address

190 Riverside St Unit 6B
Portland, ME 04103-1073

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other practice location 2

4 Shape Dr
Kennebunk, ME 04043-6760
Phone (207) 662-5143

Other practice location 3

50 Foden Rd
South Portland, ME 04106-1718
Phone (207) 780-0880

Other practice location 4

887 Congress St
Portland, ME 04102-3100
Phone (207) 662-5522

Other practice location 5

92 Campus Dr Ste C
Scarborough, ME 04074-7229
Phone (207) 797-5753

Other practice location 6

92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone (207) 662-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416002544 ME Practitioner - Qualified Speech Language Pathologist 6901147164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed, PA CurrentSince Jun 3, 2025 Accepting new patients
Intermed, PA CurrentSince Jun 3, 2025 Accepting new patients
Mainehealth Past Accepting new patients
The Maine Chatterbox, LLC Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

50 Foden Rd
South Portland, ME 04106
Phone (207) 523-3700

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

Organizations & group practices 5

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1083178461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST UNIT 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR UNIT 121",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747172",
            "telephone_number": "207-396-7760",
            "fax_number": "207-396-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "fax_number": "207-662-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436760",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Foden Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041061718",
            "country_code": "US",
            "telephone_number": "207-780-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "887 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023100",
            "country_code": "US",
            "telephone_number": "207-662-5522",
            "fax_number": "207-662-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Campus Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-797-5753",
            "fax_number": "207-797-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Campus Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILL",
        "first_name": "VIRGINIA",
        "middle_name": "COUGHLIN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.