NPIMap

Organization Active NPI

Beyond Speech Therapy Specialists LLC

  • Speech-Language Pathologist
  • New Lenox, IL
National Provider Identifier
1275946808
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BEYOND SPEECH THERAPY SPECIALISTS LLC
Practice address
1621 Andrea Dr
New Lenox, IL 60451-2303
Phone
(779) 435-0724
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Laura Walsh, M.S., CCC-SLP/L
Title
SLP/Co-Owner
Phone
(779) 435-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1621 Andrea Dr
New Lenox, IL 60451-2303

Mailing address

PO Box 405
New Lenox, IL 60451-0405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1275946808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604510405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 ANDREA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512303",
            "telephone_number": "779-435-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND SPEECH THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SLP/CO-OWNER",
        "authorized_official_telephone_number": "779-435-0724",
        "authorized_official_credential": "M.S., CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.