Individual provider Active NPI

Molly Mahoney Boulware, MA,CCC-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1497963672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 8248 Issued in OH
Practice address
3000 Bethel Rd
Columbus, OH 43220-2262
Phone
(614) 889-6320
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8248 OH Primary

Addresses

Primary practice location

3000 Bethel Rd
Columbus, OH 43220-2262

Mailing address

7407 Bride Water Blvd
Columbus, OH 43235-4300
Phone (614) 562-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312001477 OH Practitioner - Qualified Speech Language Pathologist 4880022441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affordable Home Health Care LLCGroup PAC ID 9739192147, 42 clinicians

Practice addresses (Care Compare)

800 Yard St
Suite 300
Grandview Heights, OH 43212-3882
Phone (614) 866-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP 8248OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients
Affordable Home Health Care, LLC Speech-Language Pathologist CurrentSince Feb 6, 2020 Accepting new patients
Affordable Home Health Care, LLC Current Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158

Organizations & group practices 4

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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497963672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 BRIDE WATER BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354300",
            "telephone_number": "614-562-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202262",
            "telephone_number": "614-889-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULWARE",
        "first_name": "MOLLY",
        "middle_name": "MAHONEY",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.