Blazing Prairie Stars

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLAZING PRAIRIE STARS

Practice address

47W635 Beith Rd
Maple Park, IL 60151-8802

Phone

(630) 365-5550

Fax

(630) 365-9550

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine B Raack, M.A.CCC-SLP

Title

Ceo

Phone

(630) 365-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Loren M Gineris, PT

  • Physical Therapist
  • Elburn, IL
  • NPI 1336347327
  NPD (past)
• Allen Weimer

  • Marriage & Family Therapist
  • Maple Park, IL
  • NPI 1649321597
  NPD (past)
• Megan Elizabeth Griffey, MOT, OTR/L

  • Occupational Therapist
  • Cass Lake, MN
  • NPI 1376841429
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215089800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47W635 BEITH ROAD",
            "city": "MAPLE PARK",
            "state": "IL",
            "postal_code": "601518802",
            "telephone_number": "630-365-5550",
            "fax_number": "630-365-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47W635 BEITH RD",
            "city": "MAPLE PARK",
            "state": "IL",
            "postal_code": "601518802",
            "telephone_number": "630-365-5550",
            "fax_number": "630-365-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING PRAIRIE STARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAACK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-365-5550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "04532110",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BPS Friends
• Christine Capes
• Megan Carroll, MOT, OTR/L
• Elisabeth Deutsch
• Victoria Dipentino, DNP-FNP-C

• Speech-Language Pathologist in Maple Park, IL
• Providers in Maple Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.