Active NPI
Speak Life Therapy LLC
- Hearing and Speech Clinic/Center
- Kalamazoo, MI
National Provider Identifier
1043922305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SPEAK LIFE THERAPY LLC
- Practice address
- 2813 W Main St
Kalamazoo, MI 49006-2901 - Phone
- (269) 350-4212
- NPI assigned
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Anne McCollum, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (269) 350-4212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
2813 W Main St
Kalamazoo, MI 49006-2901
Mailing address
4542 Gull Prairie PL Apt 2B
Kalamazoo, MI 49048-3091
Phone (269) 580-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2813 W Main St
Kalamazoo, MI 49006
Phone (269) 350-4212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Kalamazoo, MI
- NPI 1023677044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1043922305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4542 GULL PRAIRIE PL APT 2B",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490483091",
"telephone_number": "269-580-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062901",
"telephone_number": "269-350-4212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAK LIFE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "269-350-4212",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.