Individual provider Active NPI

Carrie Mayer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brecksville, OH
National Provider Identifier
1497285498
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13017 Issued in OH
Practice address
6960 S Edgerton Rd
Brecksville, OH 44141-3184
Phone
(440) 241-8366
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2017375-SP OH
Speech-Language Pathologist 235Z00000X SP.13017 OH Primary

Addresses

Primary practice location

6960 S Edgerton Rd
Brecksville, OH 44141-3184

Mailing address

6960 S Edgerton Rd
Brecksville, OH 44141-3184
Phone (440) 241-8366

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brecksville

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
2017375-SPOHMDSpeech-Language Pathologist
SP.13017OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reaching New Heights, LLC Speech-Language Pathologist CurrentSince Oct 9, 2022 Accepting new patients
Barrie G. Galvin, Otr L & Associates, LTD Speech-Language Pathologist Past Accepting new patients

Locations

6960 S Edgerton Rd
Brecksville, OH 44141
Phone (440) 241-8366

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1497285498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 S EDGERTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413184",
            "telephone_number": "440-241-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 S EDGERTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413184",
            "telephone_number": "440-241-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CARRIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2017375-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brecksville",
            "affiliation": "N",
            "address_1": "6960 S Edgerton Rd",
            "city": "Brecksville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441413184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.