Individual provider Active NPI

Molly Huck, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Beavercreek, OH
National Provider Identifier
1477826998
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14864 Issued in OH
Practice address
2660 Dayton Xenia Rd
Beavercreek, OH 45434-6416
Phone
(937) 429-7547
NPI assigned
Feb 14, 2012
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP7461 AZ
Speech-Language Pathologist 235Z00000X 146.014662 IL
Speech-Language Pathologist 235Z00000X SP.14864 OH Primary

Addresses

Primary practice location

2660 Dayton Xenia Rd
Beavercreek, OH 45434-6416

Mailing address

3520 Braddock St
Dayton, OH 45420-1206
Phone (314) 332-8440

Other practice location 1

13801 E Benson Hwy
Vail, AZ 85641-9074
Phone (520) 879-1776

Other practice location 2

40 Signal Hill Pl
Belleville, IL 62223-1699
Phone (618) 397-0325

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
SLP7461AZMDSpeech-Language Pathologist
146.014662ILMDSpeech-Language Pathologist
SP.14864OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Signal Hill School District 181 PastSince Nov 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1477826998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 BRADDOCK ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201206",
            "telephone_number": "314-332-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346416",
            "telephone_number": "937-429-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13801 E Benson Hwy",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "AZ",
            "postal_code": "856419074",
            "country_code": "US",
            "telephone_number": "520-879-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Signal Hill Pl",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622231699",
            "country_code": "US",
            "telephone_number": "618-397-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCK",
        "first_name": "MOLLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7461",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014662",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.