LAKE CITY SPEECH & VOICE THERAPY, PLLC
NPI 1619546140
Speech-Language Pathologist in Chicago, IL

Q: What is Lake City Speech & Voice Therapy, PLLC's specialty?

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

Active since June 19, 2021

2159 W FARRAGUT AVE, CHICAGO, IL 60625(773) 234-2349 Get Directions Write a Review

NPPES record last updated: June 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lake City Speech & Voice Therapy, Pllc NPPES

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

LAKE CITY SPEECH & VOICE THERAPY, PLLC (NPI 1619546140) is a healthcare organization registered as a speech-language pathologist in Chicago, Illinois and active in the NPI registry since June 2021. The organization lists Carrie Mcbreen, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1619546140

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameLAKE CITY SPEECH & VOICE THERAPY, PLLC

Location Address2159 W FARRAGUT AVEChicago, IL 60625-1203

Mailing Address2159 W Farragut AveChicago, IL 60625-1203 · (773) 234-2349

Phone(773) 234-2349

Organization SubpartNo

Authorized OfficialCarrie McbreenSpeech-language Pathologist · (773) 234-2349

Enumeration DateJune 19, 2021

NPPES CertifiedJune 19, 2021

✔ NPI 1619546140 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

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.

2159 W FARRAGUT AVE, Chicago, IL 60625

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake City Speech & Voice Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake City Speech & Voice Therapy, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carrie Mcbreen, M.S. CCC-SLP

Qualified Speech Language Pathologist

NPI 1730114281

820 S DAMEN AVE
Chicago, IL 60612

(312) 569-7524

✔ Accepts Medicare7.3 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 Lake City Speech & Voice Therapy, PLLC's NPI number?

The NPI number for Lake City Speech & Voice Therapy, PLLC is 1619546140. It was assigned to this organization in the NPPES registry on June 19, 2021.

Where is Lake City Speech & Voice Therapy, PLLC located?

Lake City Speech & Voice Therapy, PLLC is located at 2159 W Farragut Ave, Chicago, IL 60625. The listed phone number is (773) 234-2349.

What is Lake City Speech & Voice Therapy, PLLC's specialty?

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

Is Lake City Speech & Voice Therapy, PLLC enrolled in Medicare?

Yes. Lake City Speech & Voice Therapy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake City Speech & Voice Therapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Lake City Speech & Voice Therapy, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake City Speech & Voice Therapy, PLLC was last updated on June 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.