Organization Active NPI

Gold Star Speech Therapy, P.C.

  • Speech-Language Pathologist
  • Sugar Grove, IL
National Provider Identifier
1376663484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GOLD STAR SPEECH THERAPY, P.C.
Practice address
236 Berkshire LN
Sugar Grove, IL 60554-9479
Phone
(630) 605-9391
Fax
(630) 466-3735
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Aimee L Streicher, M.A., CCC-SLPNPI 1326129610
Title
Speech-Language Pathologist
Phone
(630) 605-9391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

236 Berkshire LN
Sugar Grove, IL 60554-9479

Mailing address

236 Berkshire LN
Sugar Grove, IL 60554-9479
Phone (630) 605-9391

Other identifiers 1

IdentifierTypeStateIssuer
4532028OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376663484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BERKSHIRE LN",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549479",
            "telephone_number": "630-605-9391",
            "fax_number": "630-466-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BERKSHIRE LN",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549479",
            "telephone_number": "630-605-9391",
            "fax_number": "630-466-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR SPEECH THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREICHER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "630-605-9391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4532028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.