Lee M Harvill, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Eureka Springs, AR
NPI 1669745402 · NPPES record last updated Feb 9, 2012
Key facts
- NPI
- 1669745402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#515 (AR)
- Practice address
- 525 County Road 2143
Eureka Springs, AR 72631-9226 - Phone
- (479) 253-9790
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stein Ancillary Services, LLC
Practice addresses (Care Compare)
722 Phillips PL
Huntsville, AR 72740-9517
Phone (479) 738-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120416000182 | AR | Practitioner - Qualified Speech Language Pathologist | 0143481317 |
Reassigns benefits to 1 organization Practice locations: Eureka Springs, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515 | AR | MD | Physical Therapist |
| #SP1653 | ME | MD | Speech-Language Pathologist |
| NO.2007003902 | MO | MD | Speech-Language Pathologist |
| #5178 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stein Ancillary Services, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| John House Properties, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Locations
8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740
722 Phillips Pl
Huntsville, AR 72740
Phone (479) 420-7846
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#515 | AR | Yes |
| Speech-Language Pathologist | 235Z00000X | #SP1653 | ME | |
| Speech-Language Pathologist | 235Z00000X | NO.2007003902 | MO | |
| Speech-Language Pathologist | 235Z00000X | #5178 | NC |
Addresses
Primary practice location
525 County Road 2143
Eureka Springs, AR 72631-9226
Mailing address
525 County Road 2143
Eureka Springs, AR 72631-9226
Phone (479) 253-9790
Other providers in Eureka Springs, AR
- Jason Froeschle
- Francesca Ann Garcia Giri
- Miranda Lee Goforth
- Sarah Williams Gorrell
- Jillian Guthrie
- Shelley Lynn Harvill
- Stephen Andrew Hearn
- Holly House LTD
- John Mark House
- Shelia Mae Howerton
All providers in Eureka Springs, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.