Individual provider Active NPI

McKenzie Rae Mengele, CCC-SLP

  • Speech-Language Pathologist
  • Frederick, MD
National Provider Identifier
1184230757
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09818 Issued in MD
Practice address
351 Ballenger Center Dr Ste 102
Frederick, MD 21703-7384
Phone
(301) 301-9399
NPI assigned
Sep 19, 2020
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 09818 MD Primary

Addresses

Primary practice location

351 Ballenger Center Dr Ste 102
Frederick, MD 21703-7384

Mailing address

2305 Connor Cir
Mount Airy, MD 21771-5959
Phone (410) 736-8997

Other names 1

  • McKenzie Dailey Former name

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
09818MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1184230757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CONNOR CIR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715959",
            "telephone_number": "410-736-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 BALLENGER CENTER DR STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037384",
            "telephone_number": "301-301-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGELE",
        "first_name": "MCKENZIE",
        "middle_name": "RAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "DAILEY",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.