Individual provider Active NPI

Carol Lakumb, MHSCCCSLP

  • Speech-Language Pathologist
  • New Lenox, IL
National Provider Identifier
1770625923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
346 Alana Dr
New Lenox, IL 60451-1784
Phone
(815) 462-0514
Fax
(815) 462-3993
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

346 Alana Dr
New Lenox, IL 60451-1784

Mailing address

13929 S Golden Oak Dr
Homer Glen, IL 60491-8622
Phone (708) 301-4445

Other identifiers 2

IdentifierTypeStateIssuer
9932126OtherILBCBS
12045654OtherASHA

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
146006606ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Talk Inc Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770625923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 S GOLDEN OAK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918622",
            "telephone_number": "708-301-4445",
            "fax_number": "708-301-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511784",
            "telephone_number": "815-462-0514",
            "fax_number": "815-462-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKUMB",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MHSCCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932126",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12045654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.