Mary Lucena Ellis, MA-CCC/SLP
NPI 1821297300ActiveIndividual· Speech-Language Pathologist· Rock Island, IL
Speech-Language Pathologist (MA-CCC/SLP) in Rock Island, Illinois, licensed in IA and CA, with an NPI issued in July 2007.
Overview
| NPI | 1821297300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA-CCC/SLP |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2007 |
| Last updated in NPPES | Jul 13, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | IL |
| Speech-Language Pathologist | 235Z00000X | 01132 | IA |
| Speech-Language Pathologist | 235Z00000X | MA7678 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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