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Brenda B Booth , MA CCC-SLP

Speech-Language Pathologist β€’ Elyria, OH

Active NPI 1962826826 Individual Practitioner Female Practitioner
Practice location in NPPES

1885 Lake Ave
Elyria, OH 440352551

Call 4402332271 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

1885 Lake Ave

Elyria, OH 440352551

Telephone 4402332271
Organization at the Same NPPES Address or Phone
Lorain County Board Of Education Facility NPI 1851580542

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 Elyria and Ohio

19 active clinicians are listed under Speech-Language Pathologist with a practice address in Elyria, OH (7,644 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Elyria

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH SP 4265

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: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

1 listed
NPI 1528728771

Physical Therapist, 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
βœ…
NPI Profile Active May 09, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 09, 2017

Registered at 1885 LAKE AVE, ELYRIA, OH 440352551 (Tel: 4402332271)

πŸ“
Updated Business Mailing Address May 09, 2017

Registered at 224 OAKDALE DR, SOUTH AMHERST, OH 440012846 (Tel: 4409866550)

πŸ‘€
Provider Name / Credentials Updated May 09, 2017

Recorded as BRENDA BOOTH, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Speech-Language Pathologist (license number reported to NPPES: OH SP 4265)

βœ…
NPI Profile Active February 13, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 13, 2014

Registered at 2350 POLE AVE, LORAIN, OH 440524301 (Tel: 4402332271)

πŸ“
Business Mailing Address (Initial Record) February 13, 2014

Registered at 224 OAKDALE DR, SOUTH AMHERST, OH 440012846 (Tel: 4409866550)

πŸ‘€
Provider Name / Credentials (Initial Record) February 13, 2014

Recorded as BRENDA DUERK, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2014

Speech-Language Pathologist (license number reported to NPPES: OH SP 4265)

🟒
Initial NPI Registration & Enumeration February 13, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962826826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2014
Last Update: May 09, 2017
Sole Proprietor: Yes

Mailing Address

224 Oakdale Dr

South Amherst, OH 440012846

Phone: 4409866550

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.