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Katie Carleen Samuelson , MA, CCC- SLP

Speech-Language Pathologist β€’ Fairport, NY

Active NPI 1750782108 Individual Practitioner Female Practitioner
Practice location in NPPES

41 Oconnor Rd
Fairport, NY 144501327

Call 5853832216 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

41 Oconnor Rd

Fairport, NY 144501327

Telephone 5853832216
Fax 5853836679
Organization at the Same NPPES Address or Phone
Monroe 1 Boces Facility NPI 1093082521

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

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.

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 Fairport and New York

182 active clinicians are listed under Speech-Language Pathologist with a practice address in Fairport, NY (25,203 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairport

0% of these 182 clinicians have the CMS telehealth indicator.

0.5% of these 182 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: 2022-05-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NY 023438-1

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: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00355344 (NY)

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
NPI 1801223961

Doctor of Audiology

Dr. Kelsey Walch , DPT

Physical Therapist

NPI 1215417597

Doctor of Physical Therapy

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 04, 2022

Registered at 41 OCONNOR RD, FAIRPORT, NY 144501327 (Tel: 5853832216)

πŸ“
Updated Business Mailing Address May 04, 2022

Registered at 41 OCONNOR RD, FAIRPORT, NY 144501327 (Tel: 5853832216)

πŸ“
Updated Business Mailing Address June 23, 2021

Registered at 1057 E HENRIETTA RD STE 500, ROCHESTER, NY 146232655 (Tel: 5854277610)

πŸ‘€
Provider Name / Credentials Updated June 23, 2021

Recorded as KATIE SAMUELSON, M.A., CCC- SLP

πŸ“
Updated Practice Location August 03, 2020

Registered at 1057 E HENRIETTA RD STE 500, ROCHESTER, NY 146232655 (Tel: 5854277610)

βœ…
NPI Profile Active September 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2014

Registered at 3399 WINTON RD S, ROCHESTER, NY 146233057 (Tel: 5853346000)

πŸ“
Business Mailing Address (Initial Record) September 04, 2014

Registered at 3399 WINTON RD S, ROCHESTER, NY 146233057 (Tel: 5853346000)

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2014

Recorded as KATIE SAMUELSON, M.A., C.C.C., SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2014

Speech-Language Pathologist (license number reported to NPPES: NY 023438-1)

🟒
Initial NPI Registration & Enumeration September 04, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750782108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2014
Last Update: May 04, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Fairport

Mailing Address

41 Oconnor Rd

Fairport, NY 144501327

Phone: 5853832216

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.