Olivia J Avila, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Meredith, NH
NPI 1275201352 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1275201352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2203001042 (VA)
- Practice address
- 1 Laker LN
Meredith, NH 03253-6321 - Phone
- (603) 279-6162
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626000166 | ME | Practitioner - Qualified Speech Language Pathologist | 0143793588 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL31571 | NH | MD | Speech-Language Pathologist |
| 118983 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKC Holdings LLC | Past |
Accepting new patients | |
| CKC Holdings LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2203001042 | VA | Yes |
| Speech-Language Pathologist | 235Z00000X | SP4504 | ME | |
| Speech-Language Pathologist | 235Z00000X | 118983 | TX | |
| Speech-Language Pathologist | 235Z00000X | 3294 | NH |
Addresses
Primary practice location
1 Laker LN
Meredith, NH 03253-6321
Mailing address
6473 Blue TRL
Arlington, TX 76001-7705
Phone (407) 408-5826
Other names
- Olivia Mack
Other providers in Meredith, NH
- Affiliates in Podiatry PC
- Keith Evan Allen
- David H Almstrom
- Aq FVM NH LLC
- Ashland School District
- Tracy Elizabeth Bourbeau
- Linda M. Brewer
- Julie Brooks
- Theodore H Capron
- Benjamin Thomas Carbone
All providers in Meredith, NH · Speech-Language Pathologist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.