Individual provider Active NPI

Melissa Anne Billy, MS, CCC-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1912320193
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11337 Issued in OH
Practice address
30 Northwoods Blvd
Columbus, OH 43235-4716
Phone
(614) 545-8300
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.11337 OH Primary
Speech-Language Pathologist 235Z00000X COND. 2013205 OH

Addresses

Primary practice location

30 Northwoods Blvd
Columbus, OH 43235-4716

Mailing address

8572 Fernbrook Dr
Lewis Center, OH 43035-8783
Phone (937) 405-8283

Other names 1

  • Melissa Anne Gillen Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
COND. 2013205OHMDSpeech-Language Pathologist
SP.11337OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Integrated Therapy, LLC Speech-Language Pathologist PastSince Sep 24, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1912320193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8572 FERNBROOK DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358783",
            "telephone_number": "937-405-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716",
            "telephone_number": "614-545-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11337",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND. 2013205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GILLEN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.