Active NPI
Charlene Free, MACCC/SLP
- Speech-Language Pathologist
- Marietta, OH
National Provider Identifier
1346517265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ST615202
- Practice address
- 400 N 7TH St
Marietta, OH 45750-2024 - Phone
- (740) 376-1048
- NPI assigned
- Nov 21, 2011
- 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 | ST615202 | OH | Primary |
Addresses
Primary practice location
400 N 7TH St
Marietta, OH 45750-2024
Mailing address
1604 Turnberry Dr Apt a
Pickerington, OH 43147-6842
Phone (614) 302-3354
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ST615202 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1346517265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 TURNBERRY DR APT A",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431476842",
"telephone_number": "614-302-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 7TH ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502024",
"telephone_number": "740-376-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "CHARLENE",
"name_prefix": "Ms.",
"credential": "MACCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "ST615202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.