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Carly Grace Nelson

Speech-Language Pathologist β€’ Mansfield, OH

Active NPI 1669084646 Individual Practitioner Female Practitioner
Practice location in NPPES

2772 Lutz Ave
Mansfield, OH 449039658

Call 4405372429 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

2772 Lutz Ave

Mansfield, OH 449039658

Telephone 4405372429
Organization at the Same NPPES Address or Phone
Prosperity Therapy Llc Facility NPI 1578224432

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

NPI first issued

2020

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 Mansfield and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mansfield

0% of these 46 clinicians have the CMS telehealth indicator.

0% of these 46 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: 2022-01-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH SP.14561

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

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 January 17, 2022

Registered at 2772 LUTZ AVE, MANSFIELD, OH 449039658 (Tel: 4405372429)

πŸ“
Updated Business Mailing Address January 04, 2022

Registered at 2772 LUTZ AVE, MANSFIELD, OH 449039658 (Tel: 4405372429)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Speech-Language Pathologist (license number reported to NPPES: OH SP.14561)

βœ…
NPI Profile Active August 20, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2020

Registered at 700 S ILLINOIS AVE, MANSFIELD, OH 449071835 (Tel: 4195524319)

πŸ“
Business Mailing Address (Initial Record) August 20, 2020

Registered at 2357 MEADOW SPRING CIR, COLUMBUS, OH 432354910 (Tel: 4405372429)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2020

Recorded as CARLY NELSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Speech-Language Pathologist (license number reported to NPPES: OH COND.20201462-SP)

🟒
Initial NPI Registration & Enumeration August 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669084646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2020
Last Update: January 17, 2022
Sole Proprietor: Yes

Mailing Address

2772 Lutz Ave

Mansfield, OH 449039658

Phone: 4405372429

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.