Kelsey Greathouse, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015572 Issued in PA

Practice address

12327 State Highway 618
Conneaut Lake, PA 16316-3839

Phone

(724) 456-6932

NPI assigned

Dec 6, 2018

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1184195984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12327 STATE HIGHWAY 618",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163839",
            "telephone_number": "724-456-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12327 STATE HIGHWAY 618",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163839",
            "telephone_number": "724-456-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Tecumseh St",
            "address_purpose": "LOCATION",
            "city": "Adelphi",
            "state": "MD",
            "postal_code": "207831658",
            "country_code": "US",
            "telephone_number": "301-408-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "KELSEY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Elizabeth Flemming
• Paul Thomas Foulk, DMD
• Thomas Carl Fox, DMD
• Thomas Gilbert, PT, DPT
• Hannah Gill, CRNP
• Deborah Jean Gregg, MA LICENSED PSYCHOLO
• Jon Hank, OTR/L
• Kayla Rae Heagy, MOT, OTR/L
• Christine R Herman, LPC
• Maria L Hildebran

• Speech-Language Pathologist in Conneaut Lake, PA
• Providers in Conneaut Lake, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.