Courtney M McCarren, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008995 Issued in VA

Practice address

21000 Education CT
Broadlands, VA 20148-5526

Phone

(571) 252-1000

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Courtney Dussinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Loudoun County Public Schools

  • Local Education Agency (LEA)
  • Broadlands, VA
  • NPI 1902151863
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1538670039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17193 PICKWICK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323185",
            "telephone_number": "717-405-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 EDUCATION CT",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201485526",
            "telephone_number": "571-252-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARREN",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL000060",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DUSSINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Lynn Macdonald, O.D.
• Nicole Yeganeh Maham
• Anderea Nicole Mason, M.ED.
• Kimberly Maxwell, OT
• Megan McAlister, M.A
• Jessica Kate McCarthy, MSW
• Kimberly McCartney
• Karen Elizabeth McKinley, PA-C
• Jennifer McLemore, LCSW
• Christine McMahon, MA, CCC-SLP

• Speech-Language Pathologist in Broadlands, VA
• Providers in Broadlands, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.