Active NPI
Tara Olsen
- Speech-Language Pathologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146014009
- Practice address
- 155 N Michigan Ave Ste 208
Chicago, IL 60601-7940 - Phone
- (312) 600-3790
- NPI assigned
- Jul 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146014009 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 15736 | OR |
Addresses
Primary practice location
155 N Michigan Ave Ste 208
Chicago, IL 60601-7940
Mailing address
4610 N Clark St # 1285
Chicago, IL 60640-4620
Other names 1
- Tara Bockrath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Marquette University School of Dentistry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 N Michigan Ave
Suite 208
Chicago, IL 60601-7940
Phone (708) 502-4889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15736 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
| Illinois Speech Therapy, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
155 N Michigan Ave
Ste 208
Chicago, IL 60601
Phone (312) 344-3490
332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073
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.
-
- Speech-Language Pathologist
- St Charles, IL
- NPI 1013623438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1205358900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N CLARK ST # 1285",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 208",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017940",
"telephone_number": "312-600-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146014009",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "BOCKRATH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.