1. Home
  2. Directory
  3. Illinois
  4. Dekalb
  5. Speech Language Pathologist
  6. NPI Profile

LISETTE KMIEC CCC-SLP
NPI 1417814633
Speech-Language Pathologist in Dekalb, IL

Active since January 08, 2026
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115(815) 217-0343(815) 217-0455 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisette Kmiec Ccc-slp NPPES

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

LISETTE KMIEC CCC-SLP (NPI 1417814633) is an individual speech-language pathologist provider in Dekalb, Illinois, licensed in Illinois (242.007942) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1417814633
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISETTE KMIECCredential: CCC-SLP
Location Address2600 N ANNIE GLIDDEN RDDekalb, IL 60115-1207
Mailing Address245 Lakeside Ct Apt 1026St Charles, IL 60174-7923 · (815) 217-0343 · Fax (815) 217-0455
Phone(815) 217-0343
Fax(815) 217-0455
Sole ProprietorYes
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1417814633 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 IL · 242.007942
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.
2600 N ANNIE GLIDDEN RD, Dekalb, IL 60115
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DEKALB COUNTY GOVERNMENT
Skilled Nursing Facility
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 758-2477
SYDNEY ELIZABETH IRVIN PTA
Physical Therapy Assistant
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 758-2477
ANNA LARSEN
Occupational Therapist
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 758-2477
CARRIE CASPER
Speech-Language Pathologist
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 758-2477
MARIS EMMA REID SLP
Speech-Language Pathologist
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 758-2477
DEKALB COUNTY GOVERNMENT
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2600 N ANNIE GLIDDEN RD
DEKALB, IL 60115
Dekalb County (815) 217-0310

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 Lisette Kmiec's NPI number?

The NPI number for Lisette Kmiec is 1417814633. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Lisette Kmiec located?

Lisette Kmiec practices at 2600 N Annie Glidden Rd, Dekalb, IL 60115. The listed phone number is (815) 217-0343.

What is Lisette Kmiec's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisette Kmiec was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.