Individual provider Active NPI

Lindsey Elizabeth Black, MA CCC SLP

  • Speech-Language Pathologist
  • Greenville, OH
National Provider Identifier
1306699442
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15406 Issued in OH
Practice address
1101 Jackson St Ste C
Greenville, OH 45331-1396
Phone
(937) 547-2319
Fax
(937) 548-4248
NPI assigned
Apr 9, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 SP.15406 OH Primary

Addresses

Primary practice location

1101 Jackson St Ste C
Greenville, OH 45331-1396

Mailing address

1498 N Broadway St
Greenville, OH 45331-2454

Other practice location 1

1498 N Broadway St
Greenville, OH 45331-2454
Phone (937) 608-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP.15406OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County Inc Current Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince May 7, 2024 Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince May 7, 2024 Accepting new patients
Speech Pathology Services Speech-Language Pathologist Current Accepting new patients

Locations

702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

1498 N Broadway St
Greenville, OH 45331
Phone (937) 548-2317

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016

Organizations & group practices 4

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1306699442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON ST STE C",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311396",
            "telephone_number": "937-547-2319",
            "fax_number": "937-548-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453312454",
            "country_code": "US",
            "telephone_number": "937-608-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LINDSEY",
        "middle_name": "ELIZABETH",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.