Heather Lecky, M.S.CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · North Oaks, MN
NPI 1063307221 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1063307221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7808 (MN)
- Practice address
- 5919 Centerville Rd
North Oaks, MN 55127-6821 - Phone
- (651) 762-7122
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optage Inc
Practice addresses (Care Compare)
4650 Centerville Rd
White Bear Lake, MN 55127-3200
Phone (651) 631-6570
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250701002206 | MN | Practitioner - Qualified Speech Language Pathologist | 8022521228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7808 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Optage Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
240 East Ave
Mahtomedi, MN 55115
Phone (651) 264-3200
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7808 | MN | Yes |
Addresses
Primary practice location
5919 Centerville Rd
North Oaks, MN 55127-6821
Mailing address
11434 Hastings St NE
Blaine, MN 55449-4447
Phone (507) 382-2193
Other providers in North Oaks, MN
- Mindy Lee Kang
- Thomas Kelzenberg
- Elias Gabi Kopti
- Michael Kurz
- Carol Langer
- Lexi Lippe DDS, PLLC
- Alexis Lippe
- Sherri A Long
- Daniel Jonathan Lunstad
- Gary Lunstad
All providers in North Oaks, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.