Kaitlin Thompson, MS, CCC-SLP, CLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013238 Issued in IL

Practice address

800 S McHenry Ave Ste a
Crystal Lake, IL 60014-7487

Phone

(815) 201-1558

Fax

(815) 605-0541

NPI assigned

Feb 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlin Brady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• KT Therapy, PLLC

  • Speech-Language Pathologist
  • Crystal Lake, IL
  • NPI 1437816840
  NPD Authorized official

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1467951905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-201-1558",
            "fax_number": "815-605-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-201-1558",
            "fax_number": "815-605-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Coventry Ln",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147611",
            "country_code": "US",
            "telephone_number": "815-685-1208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KAITLIN",
        "credential": "MS, CCC-SLP, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "BRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carissa Lynn Thiele, MS, CCC-SLP
• Misty Lynn Thillen, D.D.S.
• Lori J Thomas, LCSW, CADC, MISA
• Merrin Thomas, DPT
• John Michael Thometz
• Justina Thurmond
• Krishna Tikiwala, DPM
• Timothy J. Hayes, Psy.D.P.C.
• TLC Centers for Therapy (Dream Riders)
• TLC Massage and Spa Inc

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.