Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHEL CHARLOTTE WALDHOLZ CCC-SLP
NPI 1003632043
Speech-Language Pathologist in Portage, MI

Q: What is Rachel Waldholz's NPI number?

The NPI number for Rachel Waldholz is 1003632043. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Q: What is Rachel Waldholz's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Waldholz was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2024Accepts Medicare Assignment

1908 W MILHAM AVE, PORTAGE, MI 49024(269) 459-6212(269) 585-6068 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rachel Charlotte Waldholz Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL CHARLOTTE WALDHOLZ CCC-SLP (NPI 1003632043) is an individual speech-language pathologist provider in Portage, Michigan, licensed in Michigan (7101009034) and active in the NPI registry since November 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1003632043

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameRACHEL CHARLOTTE WALDHOLZCredential: CCC-SLP

Location Address1908 W MILHAM AVEPortage, MI 49024-1232

Mailing Address1908 W Milham AvePortage, MI 49024-1232 · (269) 459-6212 · Fax (269) 585-6068

Phone(269) 459-6212

Fax(269) 585-6068

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 25, 2024

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1003632043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101009034

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1908 W MILHAM AVE, Portage, MI 49024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Charlotte Waldholz Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779087135

PECOS Enrollment IDI20250918001798

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS JENKINS DPT

Physical Therapist