Organization Active NPI

Small Talk Speech Services, LLC

  • Hearing and Speech Clinic/Center
  • Bourbonnais, IL
National Provider Identifier
1710473160
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
146011665 Issued in IL
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

Updated by the provider on Apr 10, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.