Individual provider Active NPI

Kellsey O'Rourke, CCC-SLP

  • Speech-Language Pathologist
  • Plainfield, IL
National Provider Identifier
1639851736
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.017974 Issued in IL
Practice address
13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826
Phone
(815) 267-7334
Fax
(630) 429-9411
NPI assigned
Aug 7, 2023
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 146.017974 IL Primary

Addresses

Primary practice location

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826

Mailing address

PO Box 47949
Chicago, IL 60647-7218

Other practice location 1

633 W Addison St
Chicago, IL 60613-4981
Phone (312) 248-9865

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

State licenses

LicenseStateTypeSpecialty
146.017974ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Star Therapy, LLC Speech-Language Pathologist CurrentSince Mar 11, 2025 Accepting new patients

Locations

13400 S Route 59
Ste 116326
Plainfield, IL 60585
Phone (815) 267-7334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1639851736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47949",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855826",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 W Addison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606134981",
            "country_code": "US",
            "telephone_number": "312-248-9865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KELLSEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.