Mickayla M Kleyn, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001584 Issued in NC

Practice address

6 Thorne Ridge Dr
Durham, NC 27713-9329

Phone

(219) 204-8267

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mickayla M Wenzel Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Cardinal Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1982443594
  NPD Authorized official
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1184363368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THORNE RIDGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139329",
            "telephone_number": "219-204-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THORNE RIDGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139329",
            "telephone_number": "219-204-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEYN",
        "first_name": "MICKAYLA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008049A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300062520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKAYLA",
            "last_name": "WENZEL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Klemm, M.S. CCC SLP
• Matthew Scott Klepper, FNP
• Renee Georgia Stephanie Kleris, M.D.
• Nicole W Klett, MD
• Madison Kleveland
• Annie Kleynerman, MD
• Alison Kliegman
• Christopher Scott Klifto, M.D.
• Ariel Rebecca Kline
• Caitlin Eleanor Kline, MSW, P-LCSW

• Speech-Language Pathologist in Durham, NC
• Providers in Durham, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.