Organization Active NPI

Kind Speech Solutions, PLLC

  • Speech-Language Pathologist
  • Grayslake, IL
National Provider Identifier
1174254718
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIND SPEECH SOLUTIONS, PLLC
Practice address
17465 W Winnebago Dr
Grayslake, IL 60030-1973
Phone
(773) 329-5816
NPI assigned
Jun 23, 2022
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Courtney KindelinNPI 1790026979
Title
Manager
Phone
(773) 329-5816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17465 W Winnebago Dr
Grayslake, IL 60030-1973

Mailing address

17465 W Winnebago Dr
Grayslake, IL 60030-1973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220819000690 IL Part B Supplier - Clinic/Group Practice 1153704457 Receives reassigned benefits from 1 practitioner
Practice locations: Grayslake, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1174254718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17465 W WINNEBAGO DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17465 W WINNEBAGO DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301973",
            "telephone_number": "773-329-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND SPEECH SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "KINDELIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-329-5816"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.