CAROLYN WEIS (CCC-SLP) – Speech-Language Pathologist, NPI 1255754024

CAROLYN WEIS (CCC-SLP) is a healthcare provider. based in North canton, Ohio. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. SP. 9018 (OH). The NPI Number for CAROLYN WEIS (CCC-SLP) is 1255754024

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN WEIS (CCC-SLP)
NPI
1255754024
Phone
Not provided
Address
339 E MAPLE ST
Enumeration Date
29 January 2014
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378001030
Graduation Year
2007 (19 years ago)
PAC ID
2860924339
Group Practice PAC ID
4284017542
Professional Enrollment ID
I20241022003148
Address ID
OH440778762CO7960XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

312 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OH

Provider Addresses for CAROLYN WEIS (CCC-SLP)

  • 339 E MAPLE ST

    NORTH CANTON, OH 447202593

    Phone:

    Type: Mailing

  • 7750 PARAGON RD

    WASHINGTON TOWNSHIP, OH 454594050

    Phone: (937) 291-3780

    Type: Location

  • 339 E Maple St

    North Canton, OH 447202593

    Phone: (330) 498-8200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241022003148IQualified Speech Language PathologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284017542View full group profile
NameSpecialtyState
Qualified Speech Language PathologistOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Qualified Speech Language PathologistOH

Reviews

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Frequently asked questions

Does CAROLYN WEIS (CCC-SLP) have a public NPI I can cite?
Public records show CAROLYN WEIS (CCC-SLP) under NPI 1255754024.
Is CAROLYN WEIS (CCC-SLP)'s NPI status active today?
Active status means CAROLYN WEIS (CCC-SLP)'s NPI record is not deactivated in the public file.
What type of care does CAROLYN WEIS (CCC-SLP) provide?
CAROLYN WEIS (CCC-SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Can patients visit CAROLYN WEIS (CCC-SLP) in North Canton, Ohio?
For routing, start with North Canton, Ohio for CAROLYN WEIS (CCC-SLP), then verify phone and hours locally.
Who maintains CAROLYN WEIS (CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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