Lori Jo Gough, M.A., CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010498 Issued in IL

Practice address

2131 Charleston Dr
Aurora, IL 60506-1730

Phone

(513) 292-1853

NPI assigned

Feb 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Jo Montgomery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1093106023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 CHARLESTON DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061730",
            "telephone_number": "513-292-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 CHARLESTON DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061730",
            "telephone_number": "513-292-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "LORI",
        "middle_name": "JO",
        "credential": "M.A., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MONTGOMERY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adriana Gorre
• Chloe Lynn Gorski
• Benjamin Luke Gorsky, PA-C
• Richard S Goryl, PHYSICAL THERAPIST
• Satish K Gottumukkula, DMD
• Lauren Gould
• Neal Gould, CRNA
• Ryan William Gould, MHP B.S.
• Shamika Gould
• Kelly M Gousset

• Speech-Language Pathologist in Aurora, IL
• Providers in Aurora, 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 Sep 28, 2022; 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.