Kemi Doris-Destinie Pollock, M.S., CCC-SLP
NPI 1730795865ActiveIndividual· Speech-Language Pathologist· Stafford, VA
Speech-Language Pathologist (M.S., CCC-SLP) with Essential OT PT Slp and Psychology Services PLLC, practicing in Stafford, Virginia. Medicare paid $80,346 for services to 40 patients in 2024.
Overview
| NPI | 1730795865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Sep 23, 2020 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 031871 | NY |
| Speech-Language Pathologist | 235Z00000X | 02149L | MD |
| Speech-Language Pathologist | 235Z00000X | 2202010087 | VA |
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 | 40 |
|---|---|
| Services billed | 1,189 across 2 procedure codes |
| Paid by Medicare | $80,346 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Essential OT PT Slp and Psychology Services PLLCBaldwin, NY · 5 clinicians
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All 75 speech-language pathologists in Stafford · All speech-language pathologists in Virginia