Individual provider Active NPI

Kathleen Beth Locke, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Burbank, IL
National Provider Identifier
1124392865
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010315 Issued in IL
Practice address
7600 Mason Ave
Burbank, IL 60459-1200
Phone
(708) 496-3330
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 146.010315 IL Primary

Addresses

Primary practice location

7600 Mason Ave
Burbank, IL 60459-1200

Mailing address

15160 Royal Foxhunt Rd
Orland Park, IL 60462-3841
Phone (708) 951-3381

Other practice location 1

3113 N Seminary Ave Apt 3F
Chicago, IL 60657-3362
Phone (708) 951-3381

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

LicenseStateTypeSpecialty
146.010315ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aero Special Education Coop Past 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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124392865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 ROYAL FOXHUNT RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623841",
            "telephone_number": "708-951-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 MASON AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591200",
            "telephone_number": "708-496-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3113 N Seminary Ave Apt 3F",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573362",
            "country_code": "US",
            "telephone_number": "708-951-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "KATHLEEN",
        "middle_name": "BETH",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.