Active NPI
Mary Ellen Lipnitz, MA CCC SLP
- Speech-Language Pathologist
- Wilmette, IL
National Provider Identifier
1114593233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.010171
- Practice address
- 800 Ridge Rd Apt 210
Wilmette, IL 60091-2466 - Phone
- (313) 207-2354
- NPI assigned
- May 29, 2021
- 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 | 146.010171 | IL | Primary |
Addresses
Primary practice location
800 Ridge Rd Apt 210
Wilmette, IL 60091-2466
Mailing address
PO Box 8022
Wilmette, IL 60091-8022
Phone (313) 207-2354
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.010171 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622246400000",
"number": "1114593233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8022",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600918022",
"telephone_number": "313-207-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RIDGE RD APT 210",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912466",
"telephone_number": "313-207-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPNITZ",
"first_name": "MARY",
"middle_name": "ELLEN",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-29",
"last_updated": "2021-05-29",
"certification_date": "2021-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.