Individual provider Active NPI

Kala Winckler, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Saint Clair Shores, MI
National Provider Identifier
1962042945
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006899 Issued in MI
Practice address
22444 Downing St
Saint Clair Shores, MI 48080-2846
Phone
(810) 887-1363
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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 7101006899 MI Primary

Addresses

Primary practice location

22444 Downing St
Saint Clair Shores, MI 48080-2846

Mailing address

22444 Downing St
Saint Clair Shores, MI 48080-2846
Phone (810) 887-1363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002875 MI Practitioner - Qualified Speech Language Pathologist 2365868015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101006899MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Level Eleven Saginaw, LLC CurrentSince Aug 3, 2026 Accepting new patients
Mindful Speech Solutions LLC Speech-Language Pathologist CurrentSince Feb 4, 2022 Accepting new patients
Level Eleven Howell, LLC CurrentSince Aug 3, 2026 Accepting new patients
Level Eleven Howell CurrentSince Aug 3, 2026 Accepting new patients
Level Eleven Saginaw CurrentSince Aug 3, 2026 Accepting new patients

Locations

10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301

1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

Organizations & group practices 5

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1962042945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22444 DOWNING ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802846",
            "telephone_number": "810-887-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22444 DOWNING ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802846",
            "telephone_number": "810-887-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCKLER",
        "first_name": "KALA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; 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.