Individual provider Active NPI

Melissa Friend, SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1295184612
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.06977 Issued in OH
Practice address
510 E North Broadway St
Columbus, OH 43214-4114
Phone
(614) 263-5151
Fax
(614) 263-5365
NPI assigned
Jun 7, 2016
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6977 OH
Speech-Language Pathologist 235Z00000X SP.06977 OH Primary

Addresses

Primary practice location

510 E North Broadway St
Columbus, OH 43214-4114

Mailing address

510 E North Broadway St
Columbus, OH 43214-4114
Phone (614) 263-5151

Other practice location 1

5155 Bradenton Ave Ste 150
Dublin, OH 43017-7548
Phone (614) 263-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809003058 OH Practitioner - Qualified Speech Language Pathologist 1759785058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.06977OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Therapy Associates, LLC Speech-Language Pathologist CurrentSince Jul 1, 2021 Accepting new patients
Columbus Speech and Hearing Center Speech-Language Pathologist CurrentSince Dec 5, 2023 Accepting new patients

Locations

1335 Dublin Rd
Ste 200B
Columbus, OH 43215
Phone (614) 595-0937

510 E North Broadway St
Columbus, OH 43214
Phone (614) 263-5151

5155 Bradenton Ave
Dublin, OH 43017
Phone (614) 389-6001

5155 Bradenton Ave
Ste 150
Dublin, OH 43017
Phone (614) 263-5151

Organizations & group practices 2

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1295184612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144114",
            "telephone_number": "614-263-5151",
            "fax_number": "614-263-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144114",
            "telephone_number": "614-263-5151",
            "fax_number": "614-263-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 Bradenton Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177548",
            "country_code": "US",
            "telephone_number": "614-263-5151",
            "fax_number": "614-263-5365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "MELISSA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "6977",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.06977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.