Individual provider Active NPI

Laura Lynn Sovsky, MS CCC-SLP

  • Speech-Language Pathologist
  • Crystal Lake, IL
National Provider Identifier
1497802250
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007743 Issued in IL
Practice address
4701 N Oak St
Crystal Lake, IL 60012-3309
Phone
(815) 788-1021
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 146007743 IL Primary

Addresses

Primary practice location

4701 N Oak St
Crystal Lake, IL 60012-3309

Mailing address

1860 W Winchester Rd Ste 108
Libertyville, IL 60048-5312
Phone (847) 573-9486

Other practice location 1

5073 Shoreline Rd
Lake Barrington, IL 60010-1700
Phone (847) 842-0597 ext. 1

Other practice location 2

1860 W Winchester Rd Ste 108
Libertyville, IL 60048-5312
Phone (847) 573-9486

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146007743ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1497802250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD STE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485312",
            "telephone_number": "847-573-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N OAK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123309",
            "telephone_number": "815-788-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5073 Shoreline Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Barrington",
            "state": "IL",
            "postal_code": "600101700",
            "country_code": "US",
            "telephone_number": "847-842-0597 x1",
            "fax_number": "847-842-9882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 W Winchester Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485312",
            "country_code": "US",
            "telephone_number": "847-573-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOVSKY",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.