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COURTNEY PROVOST CCC-SLP
NPI 1255915070
Speech-Language Pathologist in Williamsville, NY

Active since May 07, 2021Accepts Medicare Assignment
30 WILSON RD, WILLIAMSVILLE, NY 14221(716) 856-4201 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, May 7, 2021 (2 updates tracked since 2021).

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

NPI1255915070
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCOURTNEY PROVOSTCredential: CCC-SLP
Location Address30 WILSON RDWilliamsville, NY 14221-7026
Mailing Address800 Hertel Ave Ste 101Buffalo, NY 14207-1906 · (716) 566-5050
Phone(716) 856-4201
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 7, 2021
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1255915070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
30 WILSON RD, Williamsville, NY 14221
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Other Identifiers 2

Medicaid06435267NY
Medicaid07014708NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5597144287
PECOS Enrollment IDI20220627002850

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.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
358 services23 patients

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.

PATRICIA PINTO FREITAS
Occupational Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (716) 856-4202
MISS ERICA BUSTER MS, OTR/L
Occupational Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (833) 272-3743
BRETT HEININGER
Physical Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (833) 272-3743
DR. KARI MICHELLE SWIMLINE PT, DPT
Physical Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (716) 529-3135
KAYLA KALBFELL
Occupational Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (716) 529-3087
EMILY LEATRICE CIRINCIONE PRAWEL
Speech-Language Pathologist
30 WILSON RD
AMHERST, NY 14221
Erie County (833) 272-3743
SARAH FLINT OTR/L
Occupational Therapist
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (716) 529-3107
MRS. LISA MAY KING LMSW
Counselor (Mental Health)
30 WILSON RD
WILLIAMSVILLE, NY 14221
Erie County (716) 529-3057

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.

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.