Individual provider Active NPI

Brooke Boyd Harlacher, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Urbana, OH
National Provider Identifier
1487078101
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.7510 Issued in OH
Practice address
1512 S US Highway 68 Ste J100
Urbana, OH 43078-9288
Phone
(937) 484-1557
Fax
(937) 484-1571
NPI assigned
Feb 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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 SP.7510 OH Primary

Addresses

Primary practice location

1512 S US Highway 68 Ste J100
Urbana, OH 43078-9288

Mailing address

715 Windy Hill LN
Galloway, OH 43119-8534
Phone (614) 563-5575

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 Science

State licenses

LicenseStateTypeSpecialty
SP.7510OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison-Champaign Educational Service Center Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1487078101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WINDY HILL LN",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198534",
            "telephone_number": "614-563-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S US HIGHWAY 68 STE J100",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789288",
            "telephone_number": "937-484-1557",
            "fax_number": "937-484-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLACHER",
        "first_name": "BROOKE",
        "middle_name": "BOYD",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.7510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.