Individual provider Active NPI

Amy E Koontz, CCC-SLP

  • Speech-Language Pathologist
  • Farmington, MI
National Provider Identifier
1750293452
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101002948 Issued in MI
Practice address
32000 Shiawassee Rd
Farmington, MI 48336-3251
Phone
(248) 489-3455
NPI assigned
Sep 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 7101002948 MI Primary

Addresses

Primary practice location

32000 Shiawassee Rd
Farmington, MI 48336-3251

Mailing address

33000 Freedom Rd
Farmington Hills, MI 48336-4029

Other practice location 1

30415 Shiawassee Rd
Farmington Hills, MI 48336-4340
Phone (248) 489-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1750293452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 FREEDOM RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 SHIAWASSEE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363251",
            "telephone_number": "248-489-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30415 Shiawassee Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483364340",
            "country_code": "US",
            "telephone_number": "248-489-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.