Courtney Mickler, MA, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20242904-SP Issued in OH

Practice address

9231 Hamer Rd
Georgetown, OH 45121-1527

Phone

(937) 378-6118

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

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

Other names 1

• Courtney Mickler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1922830199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 YELLOW RIBBON DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 HAMER RD",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211527",
            "telephone_number": "937-378-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLER",
        "first_name": "COURTNEY",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20242904-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MICKLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mary Louise Mell, CDCA
• Mercy Health - Clermont Hospital LLC (Mercy Health-Georgetown Family Medicine)
• Andrea J Milani, LCDC
• Elizabeth A Molodetz Schlueter, LPN, CDCA, SWA
• Melissa O'Connor
• Oglethorpe of Georgetown LLC (Georgetown Behavioral Hospital)
• Ohio CVS Stores LLC (CVS Pharmacy 05429)

• Speech-Language Pathologist in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.