Active NPI
Katherine Staub, SLP
- Speech-Language Pathologist
- Oak Park, IL
National Provider Identifier
1487229936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2040
- Practice address
- 526 S Humphrey Ave
Oak Park, IL 60304-1713 - Phone
- (404) 788-9572
- NPI assigned
- May 26, 2021
- 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 | 2040 | NH | Primary |
Addresses
Primary practice location
526 S Humphrey Ave
Oak Park, IL 60304-1713
Mailing address
526 S Humphrey Ave
Oak Park, IL 60304-1713
Phone (404) 788-9572
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2040 | NH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1487229936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 S HUMPHREY AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041713",
"telephone_number": "404-788-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 S HUMPHREY AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041713",
"telephone_number": "404-788-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUB",
"first_name": "KATHERINE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "2040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.