Active NPI
Lindsey Elizabeth Black, MA CCC SLP
- Speech-Language Pathologist
- Greenville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.15406
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.15406 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services of Darke County Inc | Current | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current | 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.
-
- Speech-Language Pathologist
- Greenville, OH
- NPI 1790403061
-
- Student Health Clinic/Center
- New Madison, OH
- NPI 1477244275
-
- Professional Counselor
- Greenville, OH
- NPI 1649624115
-
- Primary Care Clinic/Center
- Greenville, OH
- NPI 1750106522
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.