Individual provider Active NPI

Sophia Denae Lanting, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1073297420
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.017804 Issued in IL
Practice address
1739 N Elston Ave
Chicago, IL 60642-1544
Phone
(773) 687-9241
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.017804 IL Primary

Addresses

Primary practice location

1739 N Elston Ave
Chicago, IL 60642-1544

Mailing address

17313 Hoshaw St
Lowell, IN 46356-9399
Phone (219) 775-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.017804ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Pediatric Therapy & Wellness Center, LLC Speech-Language Pathologist PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1073297420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17313 HOSHAW ST",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463569399",
            "telephone_number": "219-775-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421544",
            "telephone_number": "773-687-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTING",
        "first_name": "SOPHIA",
        "middle_name": "DENAE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.