Individual provider Active NPI

Leslie Roberts-Tolliver, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Glen Carbon, IL
National Provider Identifier
1790662195
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.003530 Issued in IL
Practice address
35 Crestview Dr
Glen Carbon, IL 62034-1026
Phone
(618) 420-2929
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146.003530 IL Primary

Addresses

Primary practice location

35 Crestview Dr
Glen Carbon, IL 62034-1026

Mailing address

35 Crestview Dr
Glen Carbon, IL 62034-1026
Phone (618) 420-2929

Other names 1

  • Leslie Roberts-Tolliver Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.003530ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1790662195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CRESTVIEW DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341026",
            "telephone_number": "618-420-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CRESTVIEW DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341026",
            "telephone_number": "618-420-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-TOLLIVER",
        "first_name": "LESLIE",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "ROBERTS-TOLLIVER",
            "credential": "M.S.CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.