DUNCAN LAKE SPEECH THERAPY, LLC
NPI 1376195925
Speech-Language Pathologist in Kentwood, MI

Active since July 14, 2019
2450 44TH ST SE STE 201, KENTWOOD, MI 49512(616) 528-0870(616) 591-5684 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Jul 19, 2023, Aug 4, 2022 and 2 more (5 updates tracked since 2019).

About Duncan Lake Speech Therapy, Llc NPPES

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

DUNCAN LAKE SPEECH THERAPY, LLC (NPI 1376195925) is a healthcare organization registered as a speech-language pathologist in Kentwood, Michigan and active in the NPI registry since July 2019. The organization lists Tamiko E Teshima, Owner And Slp, as its authorized official.

NPPES Registry Identity

NPI1376195925
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameDUNCAN LAKE SPEECH THERAPY, LLC
Location Address2450 44TH ST SE STE 201Kentwood, MI 49512-9081
Mailing Address2450 44th St Se Ste 201Kentwood, MI 49512-9081 · (616) 528-0870 · Fax (616) 591-5684
Fax(616) 591-5684
Organization SubpartNo
Authorized OfficialTamiko E TeshimaOwner And Slp · (616) 528-0870
Enumeration DateJuly 14, 2019
Last NPPES UpdateMay 8, 20245 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1376195925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedPhysical TherapistTaxonomy 225100000X
2450 44TH ST SE STE 201, Kentwood, MI 49512

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duncan Lake Speech Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Duncan Lake Speech Therapy, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Qualified Speech Language Pathologist14
Occupational Therapist in Private Practice3
Clinical Social Worker2
Mental Health Counselor2

Nearest to this location (20)

See all 21
Qualified Speech Language Pathologist
NPI 1285344853
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1992460489
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1396439394
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1124840616
2450 44TH ST SE STE 201
Grand Rapids, MI 49512
(616) 325-4839
Same address
Qualified Speech Language Pathologist
NPI 1689238727
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1336987726
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1023996360
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1588519797
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1578057774
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Qualified Speech Language Pathologist
NPI 1679462717
2450 44TH ST SE STE 201
Kentwood, MI 49512
(616) 528-0870
Same address
Clinical Social Worker
NPI 1083007801
2215 29TH ST SE STE B8A
Grand Rapids, MI 49508
(616) 227-0438
✔ PECOS✔ Accepts Medicare2.0 mi
Mental Health Counselor
NPI 1295465607
2050 BRETON RD SE STE 104
Grand Rapids, MI 49546
(616) 202-6521
✔ PECOS3.0 mi
Qualified Speech Language Pathologist
NPI 1508642133
2505 ARDMORE ST SE
Grand Rapids, MI 49506
(616) 559-1054
3.1 mi
Qualified Speech Language Pathologist
NPI 1447982541
300 68TH ST SE
Grand Rapids, MI 49548
(616) 455-5000
4.1 mi
Clinical Social Worker
NPI 1255001137
1939 S DIVISION AVE.
Grand Rapids, MI 49507
(616) 247-3815
✔ PECOS✔ Accepts Medicare4.4 mi
Occupational Therapist in Private Practice
NPI 1972948123
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7199
6.0 mi
Qualified Speech Language Pathologist
NPI 1124532973
1260 EKHART ST NE
Grand Rapids, MI 49503
(616) 965-3492
7.1 mi
Mental Health Counselor
NPI 1184164790
265 KOLLEN PARK DR
Holland, MI 49423
(269) 241-3772
✔ PECOS✔ Accepts Medicare27 mi
Occupational Therapist in Private Practice
NPI 1841074754
4285 DEVELOPMENT DR
Lansing, MI 48911
(517) 706-0423
56 mi
Qualified Speech Language Pathologist
NPI 1326710195
701 E MAIN ST
Hart, MI 49420
(231) 873-6600
68 mi
See all 21 clinicians

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 Duncan Lake Speech Therapy, LLC's NPI number?

The NPI number for Duncan Lake Speech Therapy, LLC is 1376195925. It was assigned to this organization in the NPPES registry on July 14, 2019.

Where is Duncan Lake Speech Therapy, LLC located?

Duncan Lake Speech Therapy, LLC is located at 2450 44th St SE Ste 201, Kentwood, MI 49512. The listed phone number is (616) 528-0870.

What is Duncan Lake Speech Therapy, LLC's specialty?

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

Is Duncan Lake Speech Therapy, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Duncan Lake Speech Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Duncan Lake 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. The largest specialties are Qualified Speech Language Pathologist (14), Occupational Therapist in Private Practice (3) and Clinical Social Worker (2). Of these, 10 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Duncan Lake Speech Therapy, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Duncan Lake Speech Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Duncan Lake Speech Therapy, LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.