Individual provider Active NPI

Leila Victorin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Menifee, CA
National Provider Identifier
1124668918
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007776A Issued in IN
Practice address
27192 Newport Rd Ste 1
Menifee, CA 92584-7387
Phone
(518) 470-8442
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22007776A IN Primary
Speech-Language Pathologist 235Z00000X 29549 CA

Addresses

Primary practice location

27192 Newport Rd Ste 1
Menifee, CA 92584-7387

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

17551 Generations Dr
South Bend, IN 46635-1589
Phone (855) 324-0885

Other practice location 2

551 Eastport Centre Dr
Valparaiso, IN 46383-2898
Phone (855) 324-0885

Other practice location 3

8409 Merrillville Rd
Merrillville, IN 46410-6109
Phone (855) 324-0885

Other practice location 4

505 S 3rd St
Elkhart, IN 46516-3223
Phone (855) 324-0885

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
29549CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Speech & Language Speech-Language Pathologist PastSince Jan 12, 2020 Accepting new patients
Lucid Speech and Language Clinic, Inc. Speech-Language Pathologist PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 2

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1124668918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27192 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847387",
            "telephone_number": "518-470-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17551 Generations Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351589",
            "country_code": "US",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Eastport Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832898",
            "country_code": "US",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8409 Merrillville Rd",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106109",
            "country_code": "US",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163223",
            "country_code": "US",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIN",
        "first_name": "LEILA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007776A",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.