Individual provider Active NPI

Sarah Elizabeth Mies, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Norridge, IL
National Provider Identifier
1558558346
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009829 Issued in IL
Practice address
4747 N Canfield Ave
Norridge, IL 60706-4480
Phone
(708) 583-8506
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 15217 CA
Speech-Language Pathologist 235Z00000X 146.009829 IL Primary

Addresses

Primary practice location

4747 N Canfield Ave
Norridge, IL 60706-4480

Mailing address

1400 W Belle Plaine Ave Apt 3
Chicago, IL 60613-1941
Phone (805) 509-1087

Other practice location 1

601 N Montgomery St
Ojai, CA 93023-2751
Phone (805) 646-8124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311000855 IL Practitioner - Qualified Speech Language Pathologist 5193110021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

7000 N McCormick Blvd
Lincolnwood, IL 60712-2726
Phone (847) 592-4860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP 15217CAMDSpeech-Language Pathologist
146.009829ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Speech-Language Pathologist CurrentSince Jan 3, 2022 Accepting new patients

Locations

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1558558346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W BELLE PLAINE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131941",
            "telephone_number": "805-509-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N CANFIELD AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607064480",
            "telephone_number": "708-583-8506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Montgomery St",
            "address_purpose": "LOCATION",
            "city": "Ojai",
            "state": "CA",
            "postal_code": "930232751",
            "country_code": "US",
            "telephone_number": "805-646-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIES",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 15217",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.