Individual provider Active NPI

Madeleine Victoria Larivella, CCC-SLP

  • Speech-Language Pathologist
  • Waconia, MN
National Provider Identifier
1801528369
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528885 Issued in MN
Practice address
9346 Oak Ave
Waconia, MN 55387-9422
Phone
(715) 933-2158
NPI assigned
Jun 24, 2022
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 528885 MN Primary

Addresses

Primary practice location

9346 Oak Ave
Waconia, MN 55387-9422

Mailing address

2832 Emerson Ave S Apt 626
Minneapolis, MN 55408-4980
Phone (715) 933-2158

Other names 1

  • Madeleine Rietschel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Fusion Health Information Exchange (HIE) Vantage Speech & Language LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712000335 MN Practitioner - Qualified Speech Language Pathologist 5799220927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnydays Therapy Inc Single Specialty CurrentSince Jun 10, 2024 Accepting new patients

Locations

18872 Lake Dr E
Chanhassen, MN 55317

9346 Oak Ave
Waconia, MN 55387

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1801528369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 EMERSON AVE S APT 626",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084980",
            "telephone_number": "715-933-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "715-933-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVELLA",
        "first_name": "MADELEINE",
        "middle_name": "VICTORIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Fusion",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Vantage Speech & Language LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "108 E 3rd North St Ste A-1",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294836810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "RIETSCHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.