Individual provider Active NPI

Ilianna Goettel, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1124795786
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-3149 Issued in NV
Practice address
1707 Village Center Cir Ste 150
Las Vegas, NV 89134-0597
Phone
(702) 899-5810
Fax
(702) 899-5855
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP-2844 NV
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP-3149 NV Primary

Addresses

Primary practice location

1707 Village Center Cir Ste 150
Las Vegas, NV 89134-0597

Mailing address

7607 Mount Princeton St
Las Vegas, NV 89166-5011
Phone (727) 415-4083

Other practice location 1

6166 N Durango Dr
Las Vegas, NV 89149-3912
Phone (725) 223-4100

Other practice location 2

2850 W Horizon Ridge Pkwy Ste 320
Henderson, NV 89052-4395
Phone (727) 415-4083

Other practice location 3

1925 Village Center Cir Ste 150
Las Vegas, NV 89134-6261
Phone (702) 899-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102002742 NV Practitioner - Qualified Speech Language Pathologist 8729476288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollie Fleming Speech Therapy PLLCGroup PAC ID 9335513613, 3 clinicians

Practice addresses (Care Compare)

1707 Village Ctr Cir
Suite 150
Las Vegas, NV 89134-0597
Phone (417) 860-3782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-2844NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollie Fleming Speech Therapy, PLLC Single Specialty CurrentSince Nov 2, 2023 Accepting new patients
Speakeasy Therapy Services, LLC Single Specialty PastSince Aug 1, 2021 Accepting new patients
Speakeasy Therapy Services, LLC Speech-Language Pathologist PastSince Aug 18, 2024 Accepting new patients

Locations

1925 Village Center Cir
Ste 150
Las Vegas, NV 89134
Phone (702) 899-5810

1707 Village Center Cir
Ste 150
Las Vegas, NV 89134
Phone (417) 860-3782

Organizations & group practices 3

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1124795786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 MOUNT PRINCETON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665011",
            "telephone_number": "727-415-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340597",
            "telephone_number": "702-899-5810",
            "fax_number": "702-899-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6166 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493912",
            "country_code": "US",
            "telephone_number": "725-223-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 W Horizon Ridge Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524395",
            "country_code": "US",
            "telephone_number": "727-415-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Village Center Cir Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891346261",
            "country_code": "US",
            "telephone_number": "702-899-5810",
            "fax_number": "702-899-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETTEL",
        "first_name": "ILIANNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2844",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.