Individual provider Active NPI

Grace Kozal

  • Speech-Language Pathologist
  • Crestview Hills, KY
National Provider Identifier
1942040381
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
292206 Issued in KY
Practice address
330 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3421
Phone
(859) 426-5666
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 292206 KY Primary

Addresses

Primary practice location

330 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3421

Mailing address

330 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3421
Phone (859) 426-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801003675 KY Practitioner - Qualified Speech Language Pathologist 7416465562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292206KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Pediatric Therapy PLLC Speech-Language Pathologist CurrentSince Jun 2, 2024 Accepting new patients
Redwood School & Rehabilitation Center, Inc. Speech-Language Pathologist CurrentSince Jun 18, 2025 Accepting new patients
Redwood School and Rehabilitation Center, Inc. Speech-Language Pathologist CurrentSince Jun 18, 2025 Accepting new patients
Liberty Healthcare Partners Past Accepting new patients

Locations

330 Thomas More Pkwy
Ste 102
Crestview Hills, KY 41017
Phone (859) 344-6000

71 Orphanage Rd
Ft Mitchell, KY 41017
Phone (859) 331-0880

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1942040381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173421",
            "telephone_number": "859-426-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173421",
            "telephone_number": "859-426-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAL",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "292206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.