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Eryn Cochran Mgbolu , MS CCC-SLP

Speech-Language Pathologist β€’ St Augustine, FL

Active NPI 1578208690 Individual Practitioner Female Practitioner
Practice location in NPPES

104 Ashourian Ave Ste 105
St Augustine, FL 320925106

Call 9042307761 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

104 Ashourian Ave Ste 105

St Augustine, FL 320925106

Telephone 9042307761
Organization at the Same NPPES Address or Phone
Aplus Children's Therapy Facility NPI 1265645808

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

NPI first issued

2022

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in St Augustine and Florida

99 active clinicians are listed under Speech-Language Pathologist with a practice address in St Augustine, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 99 clinicians have the CMS telehealth indicator.

3% of these 99 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: 2024-05-08
Speech-Language Pathologist Primary Specialty

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location May 08, 2024

Registered at 104 ASHOURIAN AVE STE 105, ST AUGUSTINE, FL 320925106 (Tel: 9042307761)

πŸ“
Updated Business Mailing Address May 08, 2024

Registered at 14051 BEACH BLVD APT 2109, JACKSONVILLE, FL 322501798 (Tel: 7068979605)

πŸ‘€
Provider Name / Credentials Updated May 08, 2024

Recorded as ERYN MGBOLU, M.S. CCC-SLP

πŸ“
Updated Business Mailing Address October 17, 2023

Registered at 7704 JACOBEAN WAY, AUSTIN, TX 787244535 (Tel: 7068979605)

πŸ‘€
Provider Name / Credentials Updated October 17, 2023

Recorded as ERYN COCHRAN, M.S. CCC-SLP

βœ…
NPI Profile Active May 03, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2022

Registered at 1102 WINKLER AVE, KILLEEN, TX 765426249 (Tel: 2546304844)

πŸ“
Business Mailing Address (Initial Record) May 03, 2022

Registered at 605 DONNIE AVE, KILLEEN, TX 765418918 (Tel: 2546348404)

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2022

Recorded as ERYN COCHRAN, CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2022

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 03, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578208690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2022
Last Update: May 08, 2024
Sole Proprietor: Yes

Other Speech-Language Pathologists in St Augustine

Healthcare providers in St Augustine

Mailing Address

14051 Beach Blvd Apt 2109

Jacksonville, FL 322501798

Phone: 7068979605

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.