Mary Grace Barta, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016443 Issued in OR

Practice address

889 Morning Glory Dr
Independence, OR 97351-9580

Phone

(971) 208-3113

Fax

(971) 456-0092

NPI assigned

Mar 22, 2016

Last updated

Oct 15, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Marionberry Speech Therapy, LLC

  dba Marionberry Speech Therapy

  • Speech-Language Pathologist
  • Independence, OR
  • NPI 1982472924
  NPD
• Creating Pathways

  • Speech-Language Pathologist
  • Salem, OR
  • NPI 1306284518
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1245692045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 MORNING GLORY DR",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519580",
            "telephone_number": "971-208-3113",
            "fax_number": "971-456-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 MORNING GLORY DR",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519580",
            "telephone_number": "971-208-3113",
            "fax_number": "971-456-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Caroline St S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973025842",
            "country_code": "US",
            "telephone_number": "602-341-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTA",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Abreu
• Am & Sharon C Thornton (Thornton Chiropractic Clinic)
• Jennifer Ball, RN
• Lorena Bartlett
• Angela Maureen Billman, RN
• Issabell Branske
• Lucy T Briseno, CHW, PSS
• Rhonda Kay Brown

• Speech-Language Pathologist in Independence, OR
• Providers in Independence, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.