Active NPI
Adrienne Mann, M.A. CCC-SLP
- Speech-Language Pathologist
- Beavercreek, OH
National Provider Identifier
1154721082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP11668
- Practice address
- 3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2268 - Phone
- (937) 427-9200
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- 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 | COND.2014299-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP23223 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP11668 | OH | Primary |
Addresses
Primary practice location
3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2268
Mailing address
7591 Tylers Place Blvd
West Chester, OH 45069-6308
Phone (513) 755-6600
Other practice location 1
9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071
Phone (513) 777-8599
Other practice location 2
2340 Irving St Ste 108
San Francisco, CA 94122-1639
Phone (415) 935-0412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406425 | Medicaid | OH | |
| AB7360731 | Other | OH | MEDICARE PIN |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP23223 | CA | MD | Speech-Language Pathologist |
| COND.2014299-SP | OH | MD | Speech-Language Pathologist |
| SP11668 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concepts in Hearing | Past | Accepting new patients | |
| Abc Pediatric Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Comprehensive Concepts in Speech and Hearing, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- West Chester, OH
- NPI 1134152861
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Cincinnati, OH
- NPI 1992834329
-
- Audiologist
- Cincinnati, OH
- NPI 1649508003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1154721082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7591 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696308",
"telephone_number": "513-755-6600",
"fax_number": "513-755-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3817 COLONEL GLENN HWY",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "453242268",
"telephone_number": "937-427-9200"
}
],
"practiceLocations": [
{
"address_1": "9680 Cincinnati Columbus Rd",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "452411071",
"country_code": "US",
"telephone_number": "513-777-8599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 Irving St Ste 108",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941221639",
"country_code": "US",
"telephone_number": "415-935-0412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "ADRIENNE",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2014299-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP23223",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP11668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406425",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AB7360731",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.