LIVELY SPEECH AND LANGUAGE THERAPY
NPI 1912614488
Speech-Language Pathologist in St Augustine, FL

Q: What is Lively Speech And Language Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since November 03, 2022

111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 32092(904) 729-6759(904) 490-8549 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2023, Nov 15, 2022, Nov 3, 2022 (3 updates tracked since 2022).

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About Lively Speech And Language Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVELY SPEECH AND LANGUAGE THERAPY (NPI 1912614488) is a healthcare organization registered as a speech-language pathologist in St Augustine, Florida and active in the NPI registry since November 2022. The organization lists Sarah Lively, Ceo & Founder, as its authorized official.

NPPES Registry Identity

NPI1912614488

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameLIVELY SPEECH AND LANGUAGE THERAPY, LLC

Location Address111 NATURE WALK PKWY UNIT 108St Augustine, FL 32092-3065

Mailing Address111 Nature Walk Pkwy Unit 108St Augustine, FL 32092-3065 · (904) 729-6759 · Fax (904) 490-8549

Phone(904) 729-6759

Fax(904) 490-8549

Organization SubpartNo

Authorized OfficialSarah LivelyCeo & Founder · (904) 729-6759

Enumeration DateNovember 3, 2022

Last NPPES UpdateJanuary 12, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2024

✔ NPI 1912614488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

111 NATURE WALK PKWY UNIT 108, St Augustine, FL 32092

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Other Names 1

Doing Business AsLively Speech And Language Therapy

Other Identifiers 7

OtherSA12730FL · Fl Board Of Speech-language Pathology And Audiology Kimberly Kennell

OtherSA14057FL · Fl Board Of Speech-language Pathology And Audiology Sarah Lively

OtherSA20932FL · Fl Board Of Speech-language Pathology And Audiology Mallory Abercrombie

OtherSA19092FL · Fl Board Of Speech-language Pathology And Audiology Sonya Olsen

OtherSA19465FL · Fl Board Of Speech-language Pathology And Audiology Julianne Trauner

OtherSA15493FL · Fl Board Of Speech-language Pathology And Audiology Aja Walker

OtherSA16825FL · Fl Board Of Speech-language Pathology And Audiology Samantha Repalone

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lively Speech And Language Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lively Speech And Language Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sarah Lively, CCC-SLP

Qualified Speech Language Pathologist

NPI 1740721885

111 NATURE WALK PKWY UNIT 108
St Augustine, FL 32092

(904) 729-6759

Same address

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 Lively Speech And Language Therapy, LLC's NPI number?

The NPI number for Lively Speech And Language Therapy, LLC is 1912614488. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Lively Speech And Language Therapy.

Where is Lively Speech And Language Therapy, LLC located?

Lively Speech And Language Therapy, LLC is located at 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092. The listed phone number is (904) 729-6759.

What is Lively Speech And Language Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lively Speech And Language Therapy, LLC enrolled in Medicare?

Yes. Lively Speech And Language Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lively Speech And Language Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Lively Speech And Language Therapy, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lively Speech And Language Therapy, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lively Speech And Language Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lively Speech And Language Therapy, LLC was last updated on January 12, 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.