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Carissa Grevengoed , MS, CCC-SLP

Speech-Language Pathologist β€’ Peabody, MA

Active NPI 1073104055 Individual Practitioner Female Practitioner
Practice location in NPPES

96 Forest St
Peabody, MA 019603907

Call 7724807068 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

96 Forest St

Peabody, MA 019603907

Telephone 7724807068
Organization at the Same NPPES Address or Phone
Peabody Management Systems Inc Facility NPI 1376627331

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Vero Beach, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2020

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 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, CMS release of October 2, 2026.

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.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Carissa Grevengoed 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 Peabody and Massachusetts

40 active clinicians are listed under Speech-Language Pathologist with a practice address in Peabody, MA (4,044 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peabody

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2022-09-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MA 78648-SP-SL

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL 9936

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.

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: Massachusetts Board of Registration in Medicine.
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

I20260825005033

Enrollment State Jurisdiction

FL

PECOS Control ID

9234698747

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

Secondary Practice Locations

3730 7th Ter Ste 202

Vero Beach, FL 329607325

Phone: 7724807068

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Morgan Balsam , DPT

Physical Therapist

NPI 1639896202

Doctor of Physical Therapy

Samantha Wilson , OTR, L

Occupational Therapist

NPI 1972122216

Occupational Therapist Registered, L

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 September 06, 2022

Registered at 96 FOREST ST, PEABODY, MA 019603907 (Tel: 7724807068)

🏒
Secondary Practice Location Registered September 06, 2022

Additional practice office at 3730 7th Ter Ste 202, Vero Beach, FL 329607325

πŸ“
Updated Practice Location December 27, 2021

Registered at 3730 7TH TER STE 202, VERO BEACH, FL 329607325 (Tel: 7724807068)

πŸ“
Updated Business Mailing Address December 27, 2021

Registered at 3730 7TH TER STE 202, VERO BEACH, FL 329607325

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

Recorded as CARISSA GREVENGOED, M.S., CCC-SLP

βœ…
NPI Profile Active February 01, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2021

Registered at 4705 S APOPKA VINELAND RD STE 100, ORLANDO, FL 328193151 (Tel: 4079059300)

πŸ“
Business Mailing Address (Initial Record) February 01, 2021

Registered at 13506 SUMMERPORT VILLAGE PKWY STE 410, WINDERMERE, FL 347867366

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2021

Recorded as CARISSA GREVENGOED, M.S., CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2021

Speech-Language Pathologist (license number reported to NPPES: FL 9936)

🟒
Initial NPI Registration & Enumeration February 01, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073104055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2021
Last Update: September 06, 2022
Sole Proprietor: No

Mailing Address

3730 7th Ter Ste 202

Vero Beach, FL 329607325

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.