Courtney Provost, CCC-SLP
NPI 1255915070ActiveIndividual· Speech-Language Pathologist· Williamsville, NY
Speech-Language Pathologist (CCC-SLP) with Aspire of Western New York Inc, practicing in Williamsville, New York. Medicare paid $21,288 for services to 26 patients in 2024.
Overview
| NPI | 1255915070 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | No |
| NPI issued | May 7, 2021 |
| Last updated in NPPES | Jan 2, 2024 |
| Certified by provider | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 374 across 4 procedure codes |
| Paid by Medicare | $21,288 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Aspire of Western New York IncWilliamsville, NY · 24 clinicians
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All 88 speech-language pathologists in Williamsville · All speech-language pathologists in New York