Individual provider Active NPI

Michaela Leblanc

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1164044194
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
561 Issued in OK
Practice address
200 NW 66TH St Ste 925
Oklahoma City, OK 73116-8227
Phone
(405) 286-3749
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 561 OK Primary

Addresses

Primary practice location

200 NW 66TH St Ste 925
Oklahoma City, OK 73116-8227

Mailing address

26295 E 86TH PL S
Broken Arrow, OK 74014-6158

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
561OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Work of Heart Therapy LLC Speech-Language Pathologist Current Accepting new patients
Today'S Therapy Solutions Speech-Language Pathologist PastSince Jun 4, 2023 Accepting new patients
Therapy & Beyond Medical Management, LLC PastSince May 1, 2020 Accepting new patients
Teach Me LLC PastSince May 1, 2020 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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1164044194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26295 E 86TH PL S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 66TH ST STE 925",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168227",
            "telephone_number": "405-286-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.