Active NPI
Small Talk Speech Services, LLC
- Hearing and Speech Clinic/Center
- Bourbonnais, IL
National Provider Identifier
1710473160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 146011665
- Legal business name
- SMALL TALK SPEECH SERVICES, LLC
- Practice address
- 1600 Derby Dr
Bourbonnais, IL 60914-9413 - Phone
- (815) 671-2885
- NPI assigned
- Jul 9, 2018
- 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
- Katie Marie Erickson-Keller, MS CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (815) 671-2885
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 146011665 | IL | |
| Augmentative Communication Clinic/Center | 261QA3000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | 146011665 | IL | Primary |
Addresses
Primary practice location
1600 Derby Dr
Bourbonnais, IL 60914-9413
Mailing address
1106 Riverlane Dr
Bradley, IL 60915-1947
Phone (815) 671-2885
National Provider Directory
National Provider DirectoryLocations
1106 Riverlane Dr
Bradley, IL 60915
Phone (815) 216-1206
Practitioners & 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
- Joliet, IL
- NPI 1790031409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681084800000",
"number": "1710473160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 RIVERLANE DR",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609151947",
"telephone_number": "815-671-2885",
"fax_number": "833-849-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DERBY DR",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609149413",
"telephone_number": "815-671-2885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TALK SPEECH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-09",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A",
"authorized_official_last_name": "ERICKSON-KELLER",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "815-671-2885",
"authorized_official_credential": "MS CCC-SLP"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": "146011665",
"primary": false
},
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "IL",
"license": "146011665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.