LISA MARIE COUDREY
NPI 1861962060
Speech-Language Pathologist in Gowanda, NY
About Lisa Marie Coudrey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE COUDREY (NPI 1861962060) is an individual speech-language pathologist provider in Gowanda, New York, licensed in New York (025621) and active in the NPI registry since November 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Marie Coudrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Coudrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gowanda, NY 14070
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lisa Coudrey's NPI number?
The NPI number for Lisa Coudrey is 1861962060. It was assigned to this individual provider in the NPPES registry on November 29, 2018.
Where is Lisa Coudrey located?
Lisa Coudrey practices at 63 W Main St, Gowanda, NY 14070. The listed phone number is (716) 698-2552.
What is Lisa Coudrey's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Lisa Coudrey enrolled in Medicare?
Yes. Lisa Coudrey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Coudrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Coudrey reassigns Medicare benefits to Milestone Speech Therapy PLLC (Gowanda, 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 Lisa Coudrey'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 Lisa Coudrey was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa Marie Coudrey · NPI 1861962060
Speech-Language Pathologist provider in Gowanda, New York. Individual provider, active in the CMS NPPES registry since November 29, 2018.
## Identity
- **NPI:** 1861962060 (Entity type: Individual)
- **Enumerated:** November 29, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 025621 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 63 W MAIN ST, Gowanda, NY 14070-9998
- **Phone:** (716) 698-2552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Milestone Speech Therapy PLLC (NPI 1285412536, Gowanda, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861962060) · Data from the CMS NPPES public registry.