ADVANCE THERAPY
NPI 1215144654
Speech-Language Pathologist in Lino Lakes, MN

Active since May 16, 2007
6776 LAKE DR, 220, LINO LAKES, MN 55014(651) 784-7007(651) 784-7992 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advance Therapy NPPES

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

ADVANCE THERAPY (NPI 1215144654) is a healthcare organization registered as a speech-language pathologist in Lino Lakes, Minnesota and active in the NPI registry since May 2007. The organization maintains a secondary practice location in White Bear Lake and lists Jennifer M Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1215144654
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameADVANCE SPEECH THERAPY, LLC
Location Address6776 LAKE DR, 220Lino Lakes, MN 55014
Mailing Address6776 Lake Dr, 220Lino Lakes, MN 55014-1191 · (651) 784-7007 · Fax (651) 784-7992
Fax(651) 784-7992
Organization SubpartNo
Authorized OfficialJennifer M JensenOwner · (651) 784-7007
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 2, 2018
✔ NPI 1215144654 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
Licenses✔ Licensed in MN · 7350✔ Licensed in MN · 8361✔ Licensed in MN · 8679✔ Licensed in MN · 8826✔ Licensed in MN · 8490
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.
6776 LAKE DR, Lino Lakes, MN 55014

Other Names 1

Doing Business AsAdvance Therapy

Secondary Practice Location 1

Location 12555 County Road E E # 102White Bear Lake, MN 55110-4906 · Phone (651) 683-2953

Other Identifiers 1

Medicaid073222200MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Advance Therapy, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians, nearest first (15)

Qualified Speech Language Pathologist
NPI 1215612189
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1588309561
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1386613412
6776 LAKE DR 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1841747508
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1376153346
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1104089929
6776 LAKE DR 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1790943611
6776 LAKE DR SUITE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1144010448
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1588311781
6776 LAKE DR STE 220
Lino Lakes, MN 55014
(651) 784-7007
Same address
Qualified Speech Language Pathologist
NPI 1235089707
2555 COUNTY ROAD E E # 102
White Bear Lake, MN 55110
(651) 683-2953
7.1 mi
Qualified Speech Language Pathologist
NPI 1821922386
2555 COUNTY ROAD E E STE 102
White Bear Lake, MN 55110
(651) 683-2953
7.5 mi
Qualified Speech Language Pathologist
NPI 1235063009
2555 COUNTY ROAD E E # 102
White Bear Lake, MN 55110
(651) 683-2953
7.7 mi
Qualified Speech Language Pathologist
NPI 1427555192
2555 COUNTY ROAD E E # 102
White Bear Lake, MN 55110
(651) 683-2953
13 mi
Qualified Speech Language Pathologist
NPI 1932656691
2555 COUNTY ROAD E E # 102
White Bear Lake, MN 55110
(651) 784-7007
13 mi
Qualified Speech Language Pathologist
NPI 1679245658
1810 E MAIN ST
Mandan, ND 58554
(701) 415-0000
389 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Speech Therapy, LLC's NPI number?

The NPI number for Advance Speech Therapy, LLC is 1215144654. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Advance Therapy.

Where is Advance Speech Therapy, LLC located?

Advance Speech Therapy, LLC is located at 6776 Lake Dr 220, Lino Lakes, MN 55014. The listed phone number is (651) 784-7007.

What is Advance Speech Therapy, LLC's specialty?

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

Is Advance Speech Therapy, LLC enrolled in Medicare?

Yes. Advance Speech Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Speech Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Qualified Speech Language Pathologist, reassign their Medicare billing to Advance Speech Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advance Speech Therapy, LLC was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.