Active NPI
Sweet Pea Therapy Services LTD
- Speech-Language Pathologist
- New Lenox, IL
National Provider Identifier
1679671788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SWEET PEA THERAPY SERVICES LTD
- Practice address
- 752 Columbia
New Lenox, IL 60451 - Phone
- (815) 545-3577
- Fax
- (815) 462-2620
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erin S Olson, MS CCC SLPL
- Title
- Owner Speech Lang Pathologist
- Phone
- (815) 545-3577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Primary | |
| Speech-Language Pathologist | 235Z00000X | IL |
Addresses
Primary practice location
752 Columbia
New Lenox, IL 60451
Mailing address
752 Columbia
New Lenox, IL 60451
Phone (815) 545-3577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9932457 | Other | IL | BCBS ID # |
Other names 1
- Sweet Pea Therapy Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- New Lenox, IL
- NPI 1164576310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679671788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 COLUMBIA",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451",
"telephone_number": "815-545-3577",
"fax_number": "815-462-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 COLUMBIA",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451",
"telephone_number": "815-545-3577",
"fax_number": "815-462-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET PEA THERAPY SERVICES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER SPEECH LANG PATHOLOGIST",
"authorized_official_telephone_number": "815-545-3577",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS CCC SLPL"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "9932457",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sweet Pea Therapy Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.