Individual provider Active NPI

Megan Kozonis

  • Speech-Language Pathologist
  • Highland Park, IL
National Provider Identifier
1215502950
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1108295 Issued in IL
Practice address
760 Red Oak LN
Highland Park, IL 60035-3816
Phone
(847) 831-5100
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1108295 IL Primary

Addresses

Primary practice location

760 Red Oak LN
Highland Park, IL 60035-3816

Mailing address

3913 N Monticello Ave
Chicago, IL 60618-4127
Phone (904) 662-1280

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nssed.org

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

State licenses

LicenseStateTypeSpecialty
1108295ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Suburban Special Education District PastSince Jun 22, 2021 Accepting new patients
Northern Suburban Special Education District PastSince Jun 22, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1215502950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 N MONTICELLO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184127",
            "telephone_number": "904-662-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 RED OAK LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353816",
            "telephone_number": "847-831-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZONIS",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1108295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nssed.org",
            "affiliation": "N",
            "address_1": "760 Red Oak Ln",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600353816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.