Active NPI
Micaelah Marie De Land, M.S., CCC-SLP
- Speech-Language Pathologist
- Brownsburg, IN
National Provider Identifier
1922593896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1353 E Main St
Brownsburg, IN 46112-1433 - Phone
- (317) 294-5242
- NPI assigned
- Jun 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1353 E Main St
Brownsburg, IN 46112-1433
Mailing address
2688 Grassy Branch Dr
Whitestown, IN 46075-0267
Phone (765) 491-1929
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Speech-Language Pathologist | Past | 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": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1922593896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2688 GRASSY BRANCH DR",
"city": "WHITESTOWN",
"state": "IN",
"postal_code": "460750267",
"telephone_number": "765-491-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 E MAIN ST",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121433",
"telephone_number": "317-294-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LAND",
"first_name": "MICAELAH",
"middle_name": "MARIE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-24",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.