Individual provider Active NPI

Melea Entz, MS/CCC-SLP

  • Speech-Language Pathologist
  • Greenwood Village, CO
National Provider Identifier
1609566124
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001059 Issued in CO
Practice address
6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone
(720) 314-8570
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 0001059 CO Primary

Addresses

Primary practice location

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739

Mailing address

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone (720) 314-8570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000321 CO Practitioner - Qualified Speech Language Pathologist 4587004338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10020 Trainstation Cir
Apt 157
Lone Tree, CO 80124-5360
Phone (720) 988-7704

10020 Trainstation Cir Apt
Suite 157
Lone Tree, CO 80124-5360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001059COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Cognitive Coach Speech-Language Pathologist CurrentSince Apr 13, 2024 Accepting new patients

Locations

6200 S Syracuse Way
Ste 260
Greenwood Village, CO 80111
Phone (303) 805-5456

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1609566124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "720-314-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "720-314-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZ",
        "first_name": "MELEA",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.