Individual provider Active NPI

Kandace Mumau

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1154266575
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP16558 Issued in OH
Practice address
1550 Old Henderson Rd Ste W-110
Columbus, OH 43220-3626
Phone
(330) 253-8680
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009832 PA
Speech-Language Pathologist 235Z00000X SP16558 OH Primary

Addresses

Primary practice location

1550 Old Henderson Rd Ste W-110
Columbus, OH 43220-3626

Mailing address

19008 Broadford Rd
Saegertown, PA 16433-3908

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
SP16558OHMDSpeech-Language Pathologist
SL009832PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1154266575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19008 BROADFORD RD",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164333908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OLD HENDERSON RD STE W-110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203626",
            "telephone_number": "330-253-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMAU",
        "first_name": "KANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009832",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP16558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.