Active NPI
Michael Paul Lemieux, MS CCC/SLP
- Speech-Language Pathologist
- Annandale, VA
National Provider Identifier
1083841977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005729
- Practice address
- 7617 Little River Tpke
Suite 310
Annandale, VA 22003-2603 - Phone
- (703) 941-7757
- Fax
- (703) 941-0587
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005729 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | 05276 | MD | |
| Speech-Language Pathologist | 235Z00000X | 1037 | NH |
Addresses
Primary practice location
7617 Little River Tpke
Suite 310
Annandale, VA 22003-2603
Mailing address
2917 Stuart Dr
Falls Church, VA 22042-1430
Phone (703) 849-0852
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 |
|---|---|---|---|
| 1037 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 2202005729 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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
- Annandale, VA
- NPI 1073515540
-
- Speech-Language Pathologist
- MC Lean, VA
- NPI 1508059221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1083841977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 STUART DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421430",
"telephone_number": "703-849-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 LITTLE RIVER TPKE",
"address_2": "SUITE 310",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032603",
"telephone_number": "703-941-7757",
"fax_number": "703-941-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMIEUX",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MS CCC/SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005729",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05276",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "1037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.