Individual provider Active NPI

Kaitlyn Bean, CF-SLP

  • Speech-Language Pathologist
  • Lapeer, MI
National Provider Identifier
1801636063
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009379 Issued in MI
Practice address
1100 W Newark Rd
Lapeer, MI 48446-9449
Phone
(810) 358-0373
Fax
(810) 660-8158
NPI assigned
May 27, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 Pathologist 235Z00000X 7101009379 MI Primary

Addresses

Primary practice location

1100 W Newark Rd
Lapeer, MI 48446-9449

Mailing address

1184 Legault Blvd
Ortonville, MI 48462-9427
Phone (248) 672-2516

Other practice location 1

2222 N Lapeer Rd
Lapeer, MI 48446-8619
Phone (810) 358-0373

Other practice location 2

2240 N Lapeer Rd
Lapeer, MI 48446-8619
Phone (810) 358-0373

Other practice location 3

1870 W Clarkston Rd
Lake Orion, MI 48362-2269
Phone (810) 358-0373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000592 MI Practitioner - Qualified Speech Language Pathologist 8628591302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Therapy Center LLC Speech-Language Pathologist CurrentSince Mar 17, 2025 Accepting new patients

Locations

1870 W Clarkston Rd
Lake Orion, MI 48362
Phone (810) 358-0373

1100 W Newark Rd
Lapeer, MI 48446
Phone (810) 358-0373

2222 N Lapeer Rd
Lapeer, MI 48446
Phone (810) 358-0373

2240 N Lapeer Rd
Lapeer, MI 48446
Phone (810) 358-0373

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1801636063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 LEGAULT BLVD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629427",
            "telephone_number": "248-672-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449",
            "telephone_number": "810-358-0373",
            "fax_number": "810-660-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484468619",
            "country_code": "US",
            "telephone_number": "810-358-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 N Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484468619",
            "country_code": "US",
            "telephone_number": "810-358-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622269",
            "country_code": "US",
            "telephone_number": "810-358-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "KAITLYN",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.