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Logan Macrae Ellis Wiley , MA ED, CCC-SLP

Speech-Language Pathologist β€’ Lawrenceburg, KY

Active NPI 1174197370 Individual Practitioner Female Practitioner
Practice location in NPPES

1512 Harrodsburg Rd
Lawrenceburg, KY 403429207

Call 8593398681 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

1512 Harrodsburg Rd

Lawrenceburg, KY 403429207

Telephone 8593398681

NPI first issued

2021

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 Lawrenceburg and Kentucky

7 active clinicians are listed under Speech-Language Pathologist with a practice address in Lawrenceburg, KY (2,905 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-08-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES KY 270292

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: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location August 06, 2025

Registered at 1512 HARRODSBURG RD, LAWRENCEBURG, KY 403429207 (Tel: 8593398681)

πŸ“
Updated Business Mailing Address August 06, 2025

Registered at 1512 HARRODSBURG RD, LAWRENCEBURG, KY 403429207 (Tel: 8593398681)

πŸ‘€
Provider Name / Credentials Updated August 06, 2025

Recorded as LOGAN WILEY, M.A. ED., CCC-SLP

βœ…
NPI Profile Active May 13, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 13, 2021

Registered at 3280 BLAZER PKWY STE 101, LEXINGTON, KY 405092117 (Tel: 8592255424)

πŸ“
Business Mailing Address (Initial Record) May 13, 2021

Registered at 3280 BLAZER PKWY STE 101, LEXINGTON, KY 405092117 (Tel: 8592255424)

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2021

Recorded as LOGAN ELLIS, M.A. ED., CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2021

Speech-Language Pathologist (license number reported to NPPES: KY 270292)

🟒
Initial NPI Registration & Enumeration May 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174197370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2021
Last Update: August 06, 2025
Sole Proprietor: Yes

Mailing Address

1512 Harrodsburg Rd

Lawrenceburg, KY 403429207

Phone: 8593398681

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.