Duncan Lake Speech Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DUNCAN LAKE SPEECH THERAPY, LLC

Doing business as

Duncan Lake Counseling Collective

Practice address

2450 44TH St SE Ste 201
Kentwood, MI 49512-9081

Phone

(616) 528-0870

Fax

(616) 591-5684

NPI assigned

Sep 4, 2025

Last updated

Sep 4, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

DUNCAN LAKE SPEECH THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Tamiko E Teshima, MA, CCC-SLPNPI 1689238727

Title

Practice Owner

Phone

(616) 528-0870

Specialties & licenses 2

Addresses

Other names 1

• Duncan Lake Counseling Collective Doing business as

Tax ID family

Duncan Lake LLC2 organizations share this tax ID, including this one

Part of

Duncan Lake LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Duncan Lake Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1376195925
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Duncan Lake Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1376195925
  NPPES parent name

Practitioners 2

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.

• Tamiko E Teshima, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1689238727
  NPD Authorized official
• Anna Stankovich Dubiak

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1992460489
  NPD

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1316827066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 44TH ST SE STE 201",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129081",
            "telephone_number": "616-528-0870",
            "fax_number": "616-591-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 44TH ST SE STE 201",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129081",
            "telephone_number": "616-528-0870",
            "fax_number": "616-591-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN LAKE SPEECH THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNCAN LAKE SPEECH THERAPY, LLC",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "TESHIMA",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "616-528-0870",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duncan Lake Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anna Stankovich Dubiak
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• Mental Health Counselor in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.