Pediatric Speech Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC SPEECH SERVICES LLC

Practice address

2471 Forest Meadows CT SE
Grand Rapids, MI 49546-7931

Phone

(616) 291-9762

NPI assigned

Jun 27, 2016

Last updated

Aug 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill MillerNPI 1952563017

Title

Owner

Phone

(616) 291-9762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Nicole Miller, MS, CCC-SLP

  • Speech-Language Pathologist
  • Ada, MI
  • NPI 1952563017
  Medicare reassignment Authorized official
• Hannah Pettinga, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Jenison, MI
  • NPI 1861046344
  Medicare reassignment NPD
• Kelli Van Der Heide

  • Speech-Language Pathologist
  • Ada, MI
  • NPI 1134523020
  Medicare reassignment NPD
• Esther Donaldson

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1578059879
  Medicare reassignment
• Taylor Seeber, MA CF-SLP

  • Speech-Language Pathologist
  • Kalamazoo, MI
  • NPI 1497399232
  Medicare reassignment
• Shannon Leanne Foster, MS OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1659886109
  NPD
• Olivia Hicks

  • Pediatric Occupational Therapist
  • Okemos, MI
  • NPI 1780143735
  NPD
• Hannah Katharine Olsen, M.S. OTR/L

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
  • NPI 1225528722
  NPD
• Megan Marie Rodgers, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1245799055
  NPD
• Christie Gorveatte, OTR/L

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
  • NPI 1134869043
  NPD (past)
• Emily Haan

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1386450823
  NPD (past)
• Sophia Marie Houtman, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1386341782

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1487005807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 FOREST MEADOWS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 FOREST MEADOWS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467931",
            "telephone_number": "616-291-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-291-9762"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Pedersen, PHARMD
• Pediatric Dental Specialists of West Michigan
• Pediatric Dentistry of Michigan PLLC
• Pediatric Ophthalmology PC
• Pediatric Psychologists of West Michigan, PLC
• Pediatric Surgeons of West Michigan PC
• Maureen Tan Pedres, M.D.
• Dorothy A Pedtke, D.O.
• Realite Lanice Peebles, LBA, BCBA
• Carter Anderson Peek

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.