Active NPI
Carly Aherin
- Speech-Language Pathologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6543 Chippewa St
Saint Louis, MO 63109-4114 - Phone
- (314) 647-6600
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
6543 Chippewa St
Saint Louis, MO 63109-4114
Mailing address
2604 Hereford St
Saint Louis, MO 63139-1020
Phone (217) 836-8003
Other practice location 1
7920 Clayton Rd
Saint Louis, MO 63117-1327
Phone (314) 646-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217003978 | MO | Practitioner - Qualified Speech Language Pathologist | 4880121664 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
15950 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-2748
7920 Clayton Rd
Saint Louis, MO 63117
Phone (314) 226-9614
6543 Chippewa St
Saint Louis, MO 63109
Phone (314) 647-6600
110 Horizon Dr
#310
Raleigh, NC 27615
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.
-
- Physical Therapist
- Washington, MO
- NPI 1407487366
MO, Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
7920 Clayton Rd
Saint Louis, MO 63117-1327
Phone (314) 226-9614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1487470407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 HEREFORD ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391020",
"telephone_number": "217-836-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6543 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631094114",
"telephone_number": "314-647-6600"
}
],
"practiceLocations": [
{
"address_1": "7920 Clayton Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171327",
"country_code": "US",
"telephone_number": "314-646-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHERIN",
"first_name": "CARLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.