Taylor Michelle Leube, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP14449 Issued in OH

Practice address

175 Avon Belden Rd
Avon Lake, OH 44012-1600

Phone

(440) 933-6210

NPI assigned

Sep 1, 2020

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

• Avon Lake City Schools

  • Local Education Agency (LEA)
  • Avon Lake, OH
  • NPI 1790925907
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1760096499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33206 CANTERBURY RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440123148",
            "telephone_number": "440-242-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AVON BELDEN RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121600",
            "telephone_number": "440-933-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13644 W River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia Station",
            "state": "OH",
            "postal_code": "440288967",
            "country_code": "US",
            "telephone_number": "440-236-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Belmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Avon Lake",
            "state": "OH",
            "postal_code": "440121317",
            "country_code": "US",
            "telephone_number": "440-933-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUBE",
        "first_name": "TAYLOR",
        "middle_name": "MICHELLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP14449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.