Active NPI
Megan Mathiasen, SLP
- Speech-Language Pathologist
- Aurora, IL
National Provider Identifier
1255001186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4020 E New York St
Aurora, IL 60504-4416 - Phone
- (331) 301-5590
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4020 E New York St
Aurora, IL 60504-4416
Mailing address
172 E Saint Charles Rd
Elmhurst, IL 60126-3554
Phone (815) 501-3779
Other practice location 1
545 Lincoln Ave Ste 4
Winnetka, IL 60093-2349
Phone (312) 780-0820
Other names 1
- Megan Paolucci
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1255001186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 E SAINT CHARLES RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263554",
"telephone_number": "815-501-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 E NEW YORK ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605044416",
"telephone_number": "331-301-5590"
}
],
"practiceLocations": [
{
"address_1": "545 Lincoln Ave Ste 4",
"address_purpose": "LOCATION",
"city": "Winnetka",
"state": "IL",
"postal_code": "600932349",
"country_code": "US",
"telephone_number": "312-780-0820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIASEN",
"first_name": "MEGAN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "PAOLUCCI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.