Makenzie Mae Clements, MS CF SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46004349A Issued in IN

Practice address

2 E Tilden Dr
Brownsburg, IN 46112-1648

Phone

(317) 210-4630

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Anew Therapy & Wellness LLC

  dba CORE Therapy and Wellness LLC

  • Rehabilitation Clinic/Center
  • Terre Haute, IN
  • NPI 1225792534

  Speech-Language Pathologist

  Medicare reassignment NPD
• Anew Therapy & Wellness LLC

  dba Core Therapy and Wellness

  • Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1346002839

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1780450536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E TILDEN DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E TILDEN DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121648",
            "telephone_number": "317-210-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MAKENZIE",
        "middle_name": "MAE",
        "credential": "MS CF SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46004349A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Nicole Clark, LMHC
• Cecelia Clark
• Hollie Clark
• Randolph Laird Clark, MSW, LCSW
• Roxanna Clay, RN
• Emma Cline, M.A., CCC-SLP
• Madilyn B Cline, RBT
• Maddison Cody
• Mika A Coffey-Lumpkin, OTR
• Madison Coffey

• Speech-Language Pathologist in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.