Charity Ayebae, M.A., SLP
Individual provider Active NPI Speech-Language Pathologist · Crofton, MD
NPI 1346038767 · NPPES record last updated Apr 26, 2025
Key facts
- NPI
- 1346038767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11474 (MD)
- Practice address
- 2111 Baldwin Ave
Crofton, MD 21114-2419 - Phone
- (443) 292-2353
- NPI assigned
- Apr 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- 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 MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609001550 | MD | Practitioner - Qualified Speech Language Pathologist | 8921579129 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11474 | MD | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11474 | MD | Yes |
Addresses
Primary practice location
2111 Baldwin Ave
Crofton, MD 21114-2419
Mailing address
3846 Effie Fox Way
Upper Marlboro, MD 20774-9251
NPI Registry JSON
{
"created_epoch": "1745625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1346038767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3846 EFFIE FOX WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 BALDWIN AVE",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142419",
"telephone_number": "443-292-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYEBAE",
"first_name": "CHARITY",
"credential": "M.A., SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-26",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "11474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
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All providers in Crofton, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2025. 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.