Individual provider Active NPI

Mykala Carpenter, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Paris, IL
National Provider Identifier
1386327278
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24200720 Issued in IL
Practice address
437 W Washington St
Paris, IL 61944-1726
Phone
(217) 466-6718
NPI assigned
Aug 8, 2023
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 24200720 IL Primary

Addresses

Primary practice location

437 W Washington St
Paris, IL 61944-1726

Mailing address

3850 N 25TH St Apt 11
Terre Haute, IN 47805-2951
Phone (618) 554-4970

Other practice location 1

507 Connelly St
Paris, IL 61944-1544
Phone (217) 500-3110

Other practice location 2

14040 E 1200th Rd
Paris, IL 61944-2299
Phone (217) 466-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24200720ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paris Union School Dist 95 PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1386327278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 N 25TH ST APT 11",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478052951",
            "telephone_number": "618-554-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W WASHINGTON ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619441726",
            "telephone_number": "217-466-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Connelly St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619441544",
            "country_code": "US",
            "telephone_number": "217-500-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14040 E 1200th Rd",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442299",
            "country_code": "US",
            "telephone_number": "217-466-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MYKALA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "24200720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.