Advanced Audiology Concepts, Inc.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

ADVANCED AUDIOLOGY CONCEPTS, INC.

Practice address

8897 Mentor Ave
Mentor, OH 44060-6211

Phone

(440) 205-8848

Fax

(440) 205-8848

NPI assigned

Oct 2, 2006

Last updated

Jul 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jaclyn Basista

Title

Office Manager

Phone

(440) 205-8848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hailey Beanna Asbury, AU.D

  • Audiologist
  • Mentor, OH
  • NPI 1275324600
  Medicare reassignment Care Compare group NPD
• Kristina Antwonette Bowdrie, AUD

  • Audiologist
  • Cleveland, OH
  • NPI 1154011773
  Medicare reassignment Care Compare group NPD
• Jane Marie Kukula, AU D

  • Audiologist
  • Mentor, OH
  • NPI 1295828325
  Medicare reassignment Care Compare group NPD
• Despina V Mavrakis, HAS

  • Hearing Instrument Specialist
  • Mentor, OH
  • NPI 1710854625
  NPD
• Sally A Rachek, AU.D.

  • Audiologist
  • Mentor, OH
  • NPI 1477755726
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1295828168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8897 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-205-8848",
            "fax_number": "440-205-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8897 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-205-8848",
            "fax_number": "440-205-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BASISTA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-205-8848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND HEARING PROFESSIONALS BOARD",
            "identifier": "HAD.02798",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Mentor, OH
• Providers in Mentor, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.