Kathryn Marie Raczkowski, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007910 Issued in MI

Practice address

811 N Macomb St
Monroe, MI 48162-2929

Phone

(419) 482-8647

NPI assigned

May 17, 2023

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Voice Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Monroe, MI
  • NPI 1154043172
  Medicare reassignment

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1598456808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622929",
            "telephone_number": "419-482-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622929",
            "telephone_number": "419-482-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZKOWSKI",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Psychiatry of Michigan PLLC
• Danevin Putrus, DDS
• Hailey Qassis
• Yazmin Jade Quincy-Reinhardt
• Tanvir I Qureshi, MD PC
• Ayesha Rafiq, DDS
• Khalid I Ragab, DMD
• Syed Irfan-Ur Rahman
• Rainbow Center of Michigan
• Rainbow Center of Michigan

• Speech-Language Pathologist in Monroe, MI
• Providers in Monroe, 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 Nov 1, 2024; 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.