Individual provider Active NPI

Stephanie Lewis, MA, CCC-SLP

  • Speech-Language Pathologist
  • Pacific Grove, CA
National Provider Identifier
1235621301
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP15533 Issued in CA
Practice address
667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666
Phone
(831) 318-0558
Fax
(831) 603-6061
NPI assigned
Jun 4, 2018
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 SP15533 CA Primary

Addresses

Primary practice location

667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666

Mailing address

667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666
Phone (831) 318-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417000521 CA Practitioner - Qualified Speech Language Pathologist 6507332541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monterey Bay Speech Therapy IncGroup PAC ID 7315280955, 6 clinicians

Practice addresses (Care Compare)

667 Lighthouse Ave
Suite 201
Pacific Grove, CA 93950-2666
Phone (831) 204-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP15533CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Apr 2, 2026 Accepting new patients

Locations

667 Lighthouse Ave
Ste 201
Pacific Grove, CA 93950
Phone (831) 204-0019

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1235621301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 201",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502666",
            "telephone_number": "831-318-0558",
            "fax_number": "831-603-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 201",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502666",
            "telephone_number": "831-318-0558",
            "fax_number": "831-603-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHANIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.