COURTNEY PROVOST CCC-SLP
NPI 1255915070
Speech-Language Pathologist in Williamsville, NY
About Courtney Provost Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY PROVOST CCC-SLP (NPI 1255915070) is an individual speech-language pathologist provider in Williamsville, New York and active in the NPI registry since May 2021. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Provost Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Courtney Provost reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cheektowaga, NY 14225
- Reassigned Medicare billing, New York enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Courtney Provost's NPI number?
The NPI number for Courtney Provost is 1255915070. It was assigned to this individual provider in the NPPES registry on May 7, 2021.
Where is Courtney Provost located?
Courtney Provost practices at 30 Wilson Rd, Williamsville, NY 14221. The listed phone number is (716) 856-4201.
What is Courtney Provost's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Courtney Provost enrolled in Medicare?
Yes. Courtney Provost is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Courtney Provost's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Provost reassigns Medicare benefits to Aspire Of Western New York Inc. (Cheektowaga, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Provost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Courtney Provost was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Courtney Provost, CCC-SLP · NPI 1255915070
Speech-Language Pathologist provider in Williamsville, New York. Individual provider, active in the CMS NPPES registry since May 7, 2021.
## Identity
- **NPI:** 1255915070 (Entity type: Individual)
- **Enumerated:** May 7, 2021
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 30 WILSON RD, Williamsville, NY 14221-7026
- **Phone:** (716) 856-4201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Aspire Of Western New York Inc. (NPI 1346337011, Cheektowaga, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 2, 2024
- **Other identifiers:** Medicaid 06435267 (NY); Medicaid 07014708 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1255915070) · Data from the CMS NPPES public registry.