Individual provider Active NPI

Racquel A Knesel, CCC-SLP

  • Speech-Language Pathologist
  • Livonia, MI
National Provider Identifier
1609455435
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7151000329 Issued in MI
Practice address
20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone
(734) 743-2909
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 7151000329 MI Primary

Addresses

Primary practice location

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027

Mailing address

2239 Anita Ave
Grosse Pointe Woods, MI 48236-1429
Phone (313) 910-8701

Other names 1

  • Racquel Harrouk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603002135 MI Practitioner - Qualified Speech Language Pathologist 5597164087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Phone (810) 701-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Recovery Project, LLC Speech-Language Pathologist CurrentSince May 29, 2021 Accepting new patients
Tmi East, Inc. CurrentSince Feb 7, 2025 Accepting new patients

Locations

15500 19 Mile Rd
Ste 330
Clinton Twp, MI 48038
Phone (586) 412-0016

11878 Hubbard St
Livonia, MI 48150
Phone (734) 953-1745

20000 Victor Pkwy
Ste 100
Livonia, MI 48152
Phone (734) 743-2909

11878 Hubbard St
Ste 100
Livonia, MI 48150
Phone (734) 743-2909

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

Organizations & group practices 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1609455435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 ANITA AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361429",
            "telephone_number": "313-910-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-743-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNESEL",
        "first_name": "RACQUEL",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151000329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACQUEL",
            "last_name": "HARROUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.