Individual provider Active NPI

Catherine M Mullen-Marcera, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hazleton, PA
National Provider Identifier
1720468655
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLO11615 Issued in PA
Practice address
1711 East Broad Street
Hazleton, PA 18201-8553
Phone
(570) 453-5100
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 SLO11615 PA Primary

Addresses

Primary practice location

1711 East Broad Street
Hazleton, PA 18201-8553

Mailing address

1711 East Broad Street
Hazleton, PA 18201-8553

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SLO11615PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Helwig Enterprises LLC Speech-Language Pathologist Current Accepting new patients

Locations

418 Railroad St
#102
Danville, PA 17821
Phone (570) 360-8646

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1720468655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 EAST BROAD STREET",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182018553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 EAST BROAD STREET",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182018553",
            "telephone_number": "570-453-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN-MARCERA",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLO11615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.