Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ebony Green , MS, CCC-SLP

Speech-Language Pathologist β€’ Chandler, AZ

Active NPI 1285030486 Individual Practitioner Female Practitioner
Practice location in NPPES

501 W Ray Rd Ste 1-2
Chandler, AZ 852257284

Call 4802962363 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501 W Ray Rd Ste 1-2

Chandler, AZ 852257284

Telephone 4802962363
Fax 4806859875
Organization at the Same NPPES Address or Phone
Casa Speech Therapy, Llc Facility NPI 1255801114

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ebony Green has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Chandler and Arizona

207 active clinicians are listed under Speech-Language Pathologist with a practice address in Chandler, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chandler

0% of these 207 clinicians have the CMS telehealth indicator.

2.4% of these 207 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ AZSLP11463

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20260206000129

Enrollment State Jurisdiction

TX

PECOS Control ID

6305262957

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 27, 2021

Registered at 501 W RAY RD STE 1-2, CHANDLER, AZ 852257284 (Tel: 4802962363)

πŸ‘€
Provider Name / Credentials Updated August 27, 2021

Recorded as EBONY GREEN, M.S., CCC-SLP

πŸ“
Updated Business Mailing Address August 20, 2019

Registered at 137 E MARY LN, GILBERT, AZ 852951453 (Tel: 4805282746)

πŸ“
Updated Practice Location August 26, 2018

Registered at 19670 E REINS RD, QUEEN CREEK, AZ 85142 (Tel: 4805282746)

βœ…
NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2015

Registered at 19670 E REINS RD, QUEEN CREEK, AZ 851428681 (Tel: 4805282746)

πŸ“
Business Mailing Address (Initial Record) November 16, 2015

Registered at 19670 E REINS RD, QUEEN CREEK, AZ 851428681 (Tel: 4805282746)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2015

Recorded as EBONY GREEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration November 15, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285030486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2014
Last Update: August 27, 2021
Sole Proprietor: Yes

Mailing Address

137 E Mary Ln

Gilbert, AZ 852951453

Phone: 2107014806

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.