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COURTNEY LYNN MALLORY
NPI 1912670183
Speech-Language Pathologist in Indianapolis, IN

Active since July 26, 2021
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205(317) 520-2705 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Lynn Mallory NPPES

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

COURTNEY LYNN MALLORY (NPI 1912670183) is an individual speech-language pathologist provider in Indianapolis, Indiana and active in the NPI registry since July 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1912670183
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCOURTNEY LYNN MALLORY
Location Address4740 KINGSWAY DRIndianapolis, IN 46205-1521
Mailing Address7209 N Shadeland AveIndianapolis, IN 46250-2021 · (317) 288-7606
Phone(317) 520-2705
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2021
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1912670183 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.
4740 KINGSWAY DR, Indianapolis, IN 46205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Lynn Mallory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092287029
PECOS Enrollment IDI20260610004076

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNNA BELKIEWITZ OTD, MAT, OTR
Occupational Therapist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
ERIN MASKEL
Speech-Language Pathologist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
SARAH JUNGEMANN
Behavior Technician
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
ALISON FRETTE
Speech-Language Pathologist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
TERESA STUMPF
Speech-Language Pathologist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
MOLLY MARIE WILKINS OTR/L
Occupational Therapist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000
KYA PIERSON MA-CF SLP
Speech-Language Pathologist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 455-1000
LAVEDA CHARMAIN MCCLERIN-GRAYSON
Developmental Therapist
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205
Marion County (317) 466-1000

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 Mallory's NPI number?

The NPI number for Courtney Mallory is 1912670183. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Courtney Mallory located?

Courtney Mallory practices at 4740 Kingsway Dr, Indianapolis, IN 46205. The listed phone number is (317) 520-2705.

What is Courtney Mallory's specialty?

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

Is Courtney Mallory enrolled in Medicare?

Yes. Courtney Mallory is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Mallory accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Courtney Mallory 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 Courtney Mallory was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.