Active NPI
Mallory Kautz, MA
- Speech-Language Pathologist
- Midland, MI
National Provider Identifier
1194610550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7152001177
- Practice address
- 304 W Wackerly St
Midland, MI 48640-7264 - Phone
- (989) 492-7766
- Fax
- (989) 495-0532
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 7152001177 | MI | Primary |
Addresses
Primary practice location
304 W Wackerly St
Midland, MI 48640-7264
Mailing address
1916 S Mackenzie LN
Mount Pleasant, MI 48858-8915
Phone (989) 255-8693
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 |
|---|---|---|---|
| 7152001177 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1194610550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 S MACKENZIE LN",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488588915",
"telephone_number": "989-255-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407264",
"telephone_number": "989-492-7766",
"fax_number": "989-495-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUTZ",
"first_name": "MALLORY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7152001177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.