Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Rae Mock, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1124599386

Ellen Rae Mock, MACCCSLP is a Qualified Speech Language Pathologist in Littleton, Colorado. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2018
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Practice location Address checks out

6767 S Broadway
Littleton, CO 80122-8002
Phone: (303) 731-1962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0003430 (CO)

Record details

NPI number1124599386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing address6767 S Broadway, Littleton, CO 80122-8002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Littleton