Aac on the Lakeshore, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AAC ON THE LAKESHORE, PLLC

Practice address

330 E Beltline Ave NE Ste 220
Grand Rapids, MI 49506-1267

Phone

(616) 260-3013

Fax

(616) 935-0748

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Linda A Kelley, MA, CCC-SLPNPI 1457558264

Title

Speech-Language Pathologist

Phone

(616) 260-3013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda A. Kelley, MA, CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1457558264

  MI

  Medicare reassignment Authorized official
• Erin Dault, LMSW

  • Clinical Social Worker
  • Muskegon, MI
  • NPI 1720122666
  NPD (past)
• Jeffrey Phillip Hollander, MSW, LMSW

  • Clinical Social Worker
  • Walker, MI
  • NPI 1649436031
  NPD (past)
• Teresa Gayle Hultink, MA, LPC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1922774975
  NPD (past)
• Danielle Kathryne Jandernoa, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1447526272
  NPD (past)
• Kaitlyn Ilene Seiter, LLMSW

  • Clinical Social Worker
  • Marne, MI
  • NPI 1992403182
  NPD (past)
• Matthew Thatcher, L.P.C.

  • Mental Health Counselor
  • Muskegon, MI
  • NPI 1285917997
  NPD (past)
• Jacqueline Wood

  • Clinical Social Worker
  • Wyoming, MI
  • NPI 1497146401
  NPD (past)
• Kayleigh Georgia Parent, MSW, LCSW, CAADC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1306193198
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1821647488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE STE 220",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-260-3013",
            "fax_number": "616-935-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE STE 220",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-260-3013",
            "fax_number": "616-935-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 E Beltline Ave NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061267",
            "country_code": "US",
            "telephone_number": "616-260-3013",
            "fax_number": "616-935-0748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AAC ON THE LAKESHORE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "616-260-3013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Second Chance at Life Home Care Inc.
• A Thriving Place LLC
• A.W.E.Mazing Ctr Inc.
• A&J MMT
• Thomas Marshall Aaberg Jr., MD
• Natalie Ann Aalderink
• Aamodt Chiropractic Clinic PC
• Wayne Garth Aamodt, D.C.
• Kay L Aardema, MD
• ABA for All, L3C

• All providers in Grand Rapids, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.