Individual provider Active NPI

Elizabeth McClendon, CCC-SLP

  • Speech-Language Pathologist
  • Keller, TX
National Provider Identifier
1144797408
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115373 Issued in TX
Practice address
428 Harmony Way
Keller, TX 76248-1524
Phone
(760) 300-8418
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 115373 TX Primary

Addresses

Primary practice location

428 Harmony Way
Keller, TX 76248-1524

Mailing address

428 Harmony Way
Keller, TX 76248-1524
Phone (760) 300-8418

Other identifiers 2

IdentifierTypeStateIssuer
1275277212OtherMDGROUP NPI 2
115373OtherTXTEXAS SLP LICENSE

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
115373TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Communication LLC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients
PCT Speech Therapy PLLC Speech-Language Pathologist PastSince Jul 1, 2021 Accepting new patients
Pine Cone Therapies LLC PastSince Jul 1, 2021 Accepting new patients
Key Changes Therapy Services, Inc Speech-Language Pathologist PastSince Feb 7, 2018 Accepting new patients

Organizations & group practices 4

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1144797408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HARMONY WAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481524",
            "telephone_number": "760-300-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HARMONY WAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481524",
            "telephone_number": "760-300-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI 2",
            "identifier": "1275277212",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS SLP LICENSE",
            "identifier": "115373",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.