Chelsey Mirto

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.12182 Issued in OH

Practice address

531 Opportunity Way
Lagrange, OH 44050

Phone

(440) 355-2300

Fax

(440) 355-4240

NPI assigned

Oct 12, 2015

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsey Fries Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1396116752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OPPORTUNITY WAY",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "44050",
            "telephone_number": "440-355-2300",
            "fax_number": "440-355-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OPPORTUNITY WAY",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "44050",
            "telephone_number": "440-355-2300",
            "fax_number": "440-355-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRTO",
        "first_name": "CHELSEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "FRIES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carrie Ann Hepner Oboyle, MS RDN LD
• Ifeoma A Ojukwu, M.D.
• Ashley N Owen, LCDC II
• Megan Owen
• Jasmine Marie Parina, APRN

• Speech-Language Pathologist in Lagrange, OH
• Providers in Lagrange, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.