Active NPI
Michelle Roberts
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1396250296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.004609
- Practice address
- 675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967 - Phone
- (312) 694-0285
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.004609 | IL | Primary |
Addresses
Primary practice location
675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967
Mailing address
3125 W Fullerton Ave Apt 214
Chicago, IL 60647-6959
Phone (918) 740-7768
Other practice location 1
73 W Monroe St
Chicago, IL 60603-4955
Phone (312) 870-0352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Washington St
Suite 903
Chicago, IL 60602-2762
Phone (312) 372-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.004609 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Voice & Speech LLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Otolaryngology Physician
- Chicago, IL
- NPI 1366497026
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1912778325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1396250296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 W FULLERTON AVE APT 214",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476959",
"telephone_number": "918-740-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST STE 15-200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115967",
"telephone_number": "312-694-0285"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606034955",
"country_code": "US",
"telephone_number": "312-870-0352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.004609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.