Active NPI
Kathleen Ann Cooper, MS, CCC-SLP
- Speech-Language Pathologist
- Woodstock, IL
National Provider Identifier
1114419843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.002278
- Practice address
- 1200 Claussen Dr
Woodstock, IL 60098-2139 - Phone
- (815) 337-2005
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.002278 | IL | Primary |
Addresses
Primary practice location
1200 Claussen Dr
Woodstock, IL 60098-2139
Mailing address
226 Castle Terrace Ave
Fontana, WI 53125-1344
Phone (262) 375-2066
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.002278 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1114419843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 CASTLE TERRACE AVE",
"city": "FONTANA",
"state": "WI",
"postal_code": "531251344",
"telephone_number": "262-375-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CLAUSSEN DR",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600982139",
"telephone_number": "815-337-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.002278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, IL
- Community Counseling Center, LTD.
- Community Health Partnership of Illinois
- Timothy D Conway, DDS
- Richard O Cook, MD
- Evone Kay Coombs, MA, LCPC
- Cornerstone Care Inc.
- Cornerstone Care, Inc. (Cornerstone Counseling)
- County of McHenry
- County of McHenry Illinois (Valley Hi Nursing Home for McHenry County)
- Covid Testing Centers of America Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.