Individual provider Active NPI

Kenneth Richard Laferle, M.S., CCC-A

  • Audiologist
  • Elgin, IL
National Provider Identifier
1336352269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000148 Issued in IL
Practice address
2180 Valley Creek Dr
Elgin, IL 60123-2686
Phone
(847) 742-5764
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147000148 IL Primary

Addresses

Primary practice location

2180 Valley Creek Dr
Elgin, IL 60123-2686

Mailing address

2180 Valley Creek Dr
Elgin, IL 60123-2686
Phone (847) 742-5764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609001468 IL Practitioner - Qualified Audiologist 8921222100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4551 Oakton St
Skokie, IL 60076-3117
Phone (847) 679-4626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
147000148ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sounds Inc Hearing AIDS Services Audiologist CurrentSince May 2, 2014 Accepting new patients
Clear Sounds Inc CurrentSince Nov 29, 2020 Accepting new patients

Locations

4551 Oakton St
Skokie, IL 60076
Phone (847) 679-4626

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336352269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 VALLEY CREEK DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232686",
            "telephone_number": "847-742-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 VALLEY CREEK DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232686",
            "telephone_number": "847-742-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFERLE",
        "first_name": "KENNETH",
        "middle_name": "RICHARD",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.