Individual provider Active NPI

Tara Olsen

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1205358900
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146014009 Issued in IL
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

Updated by the provider on Mar 19, 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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604000750 IL Practitioner - Qualified Speech Language Pathologist 9931471174 Reassigns benefits to 2 organizations

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
Illinois Speech Therapy, PLLCGroup PAC ID 5193190353, 7 clinicians

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

LicenseStateTypeSpecialty
15736ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hona Medical Group PA Speech-Language Pathologist CurrentSince Feb 2, 2025 Accepting new patients
Illinois Speech Therapy, PLLC Speech-Language Pathologist CurrentSince May 7, 2024 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.

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.

Verify at the official NPI Registry.