Individual provider Active NPI

Lisa Jean Washkowiak, M.A., CCC-SLP/L

  • Speech-Language Pathologist
  • Woodstock, IL
National Provider Identifier
1417036112
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006741 Issued in IL
Practice address
1315 Westwood TRL
Woodstock, IL 60098
Phone
(847) 421-9004
NPI assigned
Nov 3, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 146006741 IL Primary

Addresses

Primary practice location

1315 Westwood TRL
Woodstock, IL 60098

Mailing address

1315 Westwood TRL
Woodstock, IL 60098-7006
Phone (847) 421-9004

Other identifiers 1

IdentifierTypeStateIssuer
146006741OtherILSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000157 IL Practitioner - Qualified Speech Language Pathologist 7810234077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Therapy and Wellness LLCGroup PAC ID 6002351202, 4 clinicians

Practice addresses (Care Compare)

3907 Wood Creek Dr
Island Lake, IL 60042-9656
Phone (630) 550-0898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146006741ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Therapy and Wellness LLC Speech-Language Pathologist CurrentSince Nov 22, 2025 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1417036112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WESTWOOD TRL",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987006",
            "telephone_number": "847-421-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WESTWOOD TRL",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "60098",
            "telephone_number": "847-421-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHKOWIAK",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "146006741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.