Carrie Nicolle, MA, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.006549 Issued in IL

Practice address

653 Krenz Ave
Cary, IL 60013-2011

Phone

(815) 289-4183

Fax

(847) 516-4714

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Inhometherapy Inc

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1811736069

  IL, Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1801252879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 KRENZ AVE",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132011",
            "telephone_number": "815-289-4183",
            "fax_number": "847-516-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 KRENZ AVE",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132011",
            "telephone_number": "815-289-4183",
            "fax_number": "847-516-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLLE",
        "first_name": "CARRIE",
        "credential": "MA, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M. Moskalik, D.C.
• Tiffany Munsterman
• Lynne Peterson Murphy, LCPC
• Theodore Nenov, HIS
• Darrell Lee Nicks, PSY.D.
• Niraj J Patel
• North Suburban Family Chiropractic, LTD.
• Northwest Pediatric Therapy
• Shannon O'Malley
• Christine Padjen, RPH

• Speech-Language Pathologist in Cary, IL
• Providers in Cary, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.