Achieve Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ACHIEVE SPEECH THERAPY, PLLC

Practice address

3701 E Lake Ctr Ste 4
Quincy, IL 62305-5854

Phone

(217) 209-1748

Fax

(888) 919-3363

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mackenzi Jo Tallcott, MS, CCC-SLPNPI 1104374602

Title

Owner/Speech Language Pathologist

Phone

(217) 209-1748

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mackenzi Jo Tallcott, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Quincy, IL
  • NPI 1104374602
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1043027105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E LAKE CTR STE 4",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055854",
            "telephone_number": "217-209-1748",
            "fax_number": "888-919-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E LAKE CTR STE 4",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055854",
            "telephone_number": "217-209-1748",
            "fax_number": "888-919-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "TALLCOTT",
        "authorized_official_first_name": "MACKENZI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "217-209-1748",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Quincy, IL
• Providers in Quincy, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.