Individual provider Active NPI

Kristin Moorhouse

  • Speech-Language Pathologist
  • Buffalo Grove, IL
National Provider Identifier
1538285044
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007868 Issued in IL
Practice address
1110 W Lake Cook Rd Ste 102
Buffalo Grove, IL 60089-1944
Phone
(847) 312-2828
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.007868 IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 178.014935 IL
Speech-Language Pathologist 235Z00000X 146007868 IL Primary

Addresses

Primary practice location

1110 W Lake Cook Rd Ste 102
Buffalo Grove, IL 60089-1944

Mailing address

1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997

Other identifiers 1

IdentifierTypeStateIssuer
235Z00000XOtherILSPEECH PATHOLOGIST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.014935ILMDProfessional Counselor
146.007868ILMDSpeech-Language Pathologist
146007868ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Life Counseling Current Accepting new patients

Locations

1110 W Lake Cook Rd
Ste 152
Buffalo Grove, IL 60089
Phone (847) 208-5970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1538285044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD STE 102",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891944",
            "telephone_number": "847-312-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHOUSE",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007868",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014935",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "235Z00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.