Individual provider Active NPI

Makenna Mezget, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1912633769
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP14568 Issued in OH
Practice address
14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338
Phone
(216) 223-8761
Fax
(309) 423-4813
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 SP14568 OH Primary

Addresses

Primary practice location

14077 Cedar Rd Ste Ll6A&C
Cleveland, OH 44118-3338

Mailing address

5247 Wilson Mills Rd # 126
Richmond HTS, OH 44143-3016
Phone (216) 223-8761

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 Arts

State licenses

LicenseStateTypeSpecialty
SP14568OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions LTD CurrentSince Mar 24, 2024 Accepting new patients

Locations

14077 Cedar Rd
Ste LL6AC
Cleveland, OH 44118
Phone (216) 223-8761

5247 Wilson Mills Rd
Richmond Heights, OH 44143
Phone (216) 223-8761

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1912633769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 WILSON MILLS RD # 126",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441433016",
            "telephone_number": "216-223-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14077 CEDAR RD STE LL6A&C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183338",
            "telephone_number": "216-223-8761",
            "fax_number": "309-423-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZGET",
        "first_name": "MAKENNA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP14568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

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