Individual provider Active NPI

Juliana Pabon Carrus, CCC-SLP

  • Speech-Language Pathologist
  • Macedonia, OH
National Provider Identifier
1982833364
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP8347 Issued in OH
Practice address
8536 Crow Dr
Macedonia, OH 44056-1900
Phone
(330) 888-9596
NPI assigned
Jul 7, 2009
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 SP8347 OH Primary
Behavior Analyst 103K00000X 12046784 OH

Addresses

Primary practice location

8536 Crow Dr
Macedonia, OH 44056-1900

Mailing address

8536 Crow Dr
Ste 240
Macedonia, OH 44056-1986
Phone (440) 498-1100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12046784OHMDBehavioral Analyst
SP8347OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Bloom Therapy Group Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients
Evergreen Speech Therapy Speech-Language Pathologist Current Accepting new patients
Stefanie J. Peck, M.a. CCC-SLP Past Accepting new patients

Locations

7100 E Pleasant Valley Rd
Ste 100
Independence, OH 44131
Phone (216) 202-4042

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1982833364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 CROW DR",
            "address_2": "STE 240",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561986",
            "telephone_number": "440-498-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 CROW DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561900",
            "telephone_number": "330-888-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUS",
        "first_name": "JULIANA",
        "middle_name": "PABON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8347",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "12046784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.