Individual provider Active NPI

Alexis McKenzie McCowin, MA-CF-SLP

  • Speech-Language Pathologist
  • Niles, OH
National Provider Identifier
1922561455
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.2018920-SP Issued in OH
Practice address
950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626
Phone
(330) 505-1606
Fax
(330) 423-4555
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 COND.2018920-SP OH Primary

Addresses

Primary practice location

950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626

Mailing address

950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626
Phone (330) 505-1606

Other names 1

  • Alexis McKenzie Graham 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

State licenses

LicenseStateTypeSpecialty
COND.2018920-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaris Therapy Group, Inc Speech-Language Pathologist PastSince Apr 23, 2013 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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1922561455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 YOUNGSTOWN WARREN RD STE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464626",
            "telephone_number": "330-505-1606",
            "fax_number": "330-423-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YOUNGSTOWN WARREN RD STE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464626",
            "telephone_number": "330-505-1606",
            "fax_number": "330-423-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWIN",
        "first_name": "ALEXIS",
        "middle_name": "MCKENZIE",
        "credential": "MA-CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2018920-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "GRAHAM",
            "middle_name": "MCKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.