Ellen Rae Mock, MA CCC SLP
NPI 1124599386ActiveIndividual· Speech-Language Pathologist· Littleton, CO
Speech-Language Pathologist (MA CCC SLP) with Legacy Healthcare Services Inc, practicing in Littleton, Colorado. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1124599386 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA CCC SLP |
| Sole proprietor | No |
| NPI issued | Dec 16, 2018 |
| Last updated in NPPES | Dec 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 0003430 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CO) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
Other speech-language pathologists in Littleton
- 1033532403
- 1073758934
- 1124830047
- 1184848699
- 1245715523
- 1306462965
- 1346845393
- 1396029526
- 1447130257
- 1588960272
- 1639826340
- 1659774750
All 146 speech-language pathologists in Littleton · All speech-language pathologists in Colorado