Active NPI
Melissa Phelan
- Speech-Language Pathologist
- Missoula, MT
National Provider Identifier
1467349407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-13888
- Practice address
- 2126 Dixon Ave
Missoula, MT 59801-8226 - Phone
- (406) 282-0508
- NPI assigned
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP-SP-LIC-13888 | MT | Primary |
Addresses
Primary practice location
2126 Dixon Ave
Missoula, MT 59801-8226
Mailing address
2240 E Vista Dr
Missoula, MT 59803-2616
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 |
|---|---|---|---|
| SLP-SP-LIC-13888 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Speech Therapy PLLC | Current | Accepting new patients |
Locations
2126 Dixon Ave
Missoula, MT 59801
Phone (406) 239-5820
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Missoula, MT
- NPI 1578451308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1467349407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E VISTA DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598032616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 DIXON AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018226",
"telephone_number": "406-282-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-13888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.