Individual provider Active NPI

Mikayla Mountain, CCC-SLP

  • Speech-Language Pathologist
  • Queenstown, MD
National Provider Identifier
1699432849
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10247 Issued in MD
Practice address
125 Shoreway Dr Ste 280
Queenstown, MD 21658-1684
Phone
(410) 827-3818
NPI assigned
Nov 23, 2021
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 10247 MD Primary

Addresses

Primary practice location

125 Shoreway Dr Ste 280
Queenstown, MD 21658-1684

Mailing address

125 Shoreway Dr Ste 218
Queenstown, MD 21658-1682
Phone (410) 827-3818

Other practice location 1

1140 Blades Farm Rd Ste 201
Denton, MD 21629-3489
Phone (410) 479-3300

Other names 1

  • Mikayla Cowan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

409 Glebe Rd
Easton, MD 21601-3218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10247MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Mountains Speech Therapy Services LLC Speech-Language Pathologist CurrentSince May 18, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1699432849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY DR STE 218",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581682",
            "telephone_number": "410-827-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY DR STE 280",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581684",
            "telephone_number": "410-827-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Blades Farm Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216293489",
            "country_code": "US",
            "telephone_number": "410-479-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUNTAIN",
        "first_name": "MIKAYLA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-09-29",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "COWAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queenstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.