Active NPI
Michelle Pappas, M.S. CCC-SLP
- Speech-Language Pathologist
- Orland Park, IL
National Provider Identifier
1942938709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.017109
- Practice address
- 14225 S 95TH Ave Ste 453
Orland Park, IL 60462-2266 - Phone
- (708) 787-0952
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.017109 | IL | Primary |
Addresses
Primary practice location
14225 S 95TH Ave Ste 453
Orland Park, IL 60462-2266
Mailing address
12409 Brighton LN
Plainfield, IL 60585-8580
Phone (779) 435-4242
Other practice location 1
12409 Brighton Ln
Plainfield, IL 60585-8580
Phone (779) 435-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.017109 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1942938709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12409 BRIGHTON LN",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605858580",
"telephone_number": "779-435-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14225 S 95TH AVE STE 453",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622266",
"telephone_number": "708-787-0952"
}
],
"practiceLocations": [
{
"address_1": "12409 Brighton Ln",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IL",
"postal_code": "605858580",
"country_code": "US",
"telephone_number": "779-435-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPPAS",
"first_name": "MICHELLE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.017109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.