Individual provider Active NPI

Melissa Philippsen, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Columbus, IN
National Provider Identifier
1427413079
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005015A Issued in IN
Practice address
2595 Eastwood Dr
Columbus, IN 47203-3354
Phone
(812) 202-6242
Fax
(812) 901-6202
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 22005015A IN Primary

Addresses

Primary practice location

2595 Eastwood Dr
Columbus, IN 47203-3354

Mailing address

2595 Eastwood Dr
Columbus, IN 47203-3354
Phone (812) 202-6242

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
22005015AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Kids Speech Therapy, LLC CurrentSince May 14, 2023 Accepting new patients
A Step Ahead Pediatrics Therapy, Inc Speech-Language Pathologist Past Accepting new patients

Locations

2595 Eastwood Dr
Columbus, IN 47203
Phone (812) 202-6242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1427413079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 EASTWOOD DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033354",
            "telephone_number": "812-202-6242",
            "fax_number": "812-901-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 EASTWOOD DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033354",
            "telephone_number": "812-202-6242",
            "fax_number": "812-901-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPSEN",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.