Haley Wynne Brancheau, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.016054 Issued in IL

Practice address

1301 W Cossitt Ave
La Grange, IL 60525-2145

Phone

(708) 354-5730

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Haley Wynne Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lagrange Area Dept Spec Ed

  • Local Education Agency (LEA)
  • La Grange, IL
  • NPI 1023401817
  NPD (past)
• Lockport Area SP Ed Coop

  • Local Education Agency (LEA)
  • Lockport, IL
  • NPI 1609906023
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1811501851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 PINE PKWY",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615034",
            "telephone_number": "772-403-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W COSSITT AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252145",
            "telephone_number": "708-354-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1343 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "IL",
            "postal_code": "604413823",
            "country_code": "US",
            "telephone_number": "815-838-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCHEAU",
        "first_name": "HALEY",
        "middle_name": "WYNNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.016054",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14297273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "JONES",
            "middle_name": "WYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerry P Bonet, D.P.M.
• Tracy Bongiorno, P.A.-C
• Christine O'Connor Bonhomme, M.D.
• Kathryn Marie Bonnstetter
• Amy Botta
• Kristin Breems, LCSW
• Emily Claire Brennan
• Jennifer Brennan
• Brionna Breznai, MOT, OTR/L
• Brian Drelicharz, LCSW, LLC

• Speech-Language Pathologist in La Grange, IL
• Providers in La Grange, 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 Jan 3, 2023; 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.