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CARRIE LATVALA JERYLO M.S., CCC-SLP
NPI 1770629297
Speech-Language Pathologist in Andover, MN

Active since January 30, 2007
13750 CROSSTOWN DR NW, SUITE 310, ANDOVER, MN 55304(763) 755-4275(763) 755-4261 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carrie Latvala Jerylo M.s., Ccc-slp NPPES

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

CARRIE LATVALA JERYLO M.S., CCC-SLP (NPI 1770629297) is an individual speech-language pathologist provider in Andover, Minnesota, licensed in Minnesota (6292) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1770629297
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARRIE LATVALA JERYLOCredential: M.S., CCC-SLP
Location Address13750 CROSSTOWN DR NW, SUITE 310Andover, MN 55304-5853
Mailing Address14060 Aztec St NwAndover, MN 55304-7443 · (763) 422-1392
Phone(763) 755-4275
Fax(763) 755-4261
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770629297 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 MN · 6292
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.
13750 CROSSTOWN DR NW, Andover, MN 55304
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Other Names 1

Former Name (1)Carrie Jean Latvala

Other Identifiers 3

OtherHP34823MN · Healthpartners
Other131G3JEMN · Bluecrossblueshield
Other46-00854MN · Medica

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Latvala Jerylo M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carrie Jerylo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Speech & Therapy Services, LLC
1.1 mi
Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group
NPI 1235285966 (763) 755-4275

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

Other Providers at the Same Location NPPES 12

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

MRS. MELISSA SUE LONSKY CCC-SLP, OM
Speech-Language Pathologist
13750 CROSSTOWN DR NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
GARY SCOTT HOWARD STUDENT/INTERN
Student in an Organized Health Care Education/Training Program
13750 CROSSTOWN DR NW, MOLLY PROFESSIONAL CENTER ,PHASE II #207
ANDOVER, MN 55304
Anoka County (763) 755-6290
TRUE NORTH PSYCHOLOGY AND CONSULTING LLC
Clinic/Center
13750 CROSSTOWN DR NW
ANDOVER, MN 55304
Anoka County (763) 310-8847
SUSAN C WASILK M.S.W., L.I.C.S.W.
Social Worker (Clinical)
13750 CROSSTOWN DR NW, SUITE 106
ANDOVER, MN 55304
Anoka County (612) 388-1543
DR. WAYNE EDWARD PRATT D.C.
Chiropractor
13750 CROSSTOWN DR NW, SUITE L102
ANDOVER, MN 55304
Anoka County (763) 767-1800
CHERYL LYNNE OLMSTED
Massage Therapist
13750 CROSSTOWN DR NW, SUITE L100
ANDOVER, MN 55304
Anoka County (763) 757-0003
MS. LYNN M. SWANSON O.T.R.
Occupational Therapist (Pediatrics)
13750 CROSSTOWN DR NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
MR. BENJAMIN J WOLF LICSW
Social Worker (Clinical)
13750 CROSSTOWN DR NW, SUITE L101
ANDOVER, MN 55304
Anoka County (763) 482-9598

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 Carrie Jerylo's NPI number?

The NPI number for Carrie Jerylo is 1770629297. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Carrie Jean Latvala.

Where is Carrie Jerylo located?

Carrie Jerylo practices at 13750 Crosstown Dr NW Suite 310, Andover, MN 55304. The listed phone number is (763) 755-4275.

What is Carrie Jerylo's specialty?

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

Is Carrie Jerylo enrolled in Medicare?

Yes. Carrie Jerylo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carrie Jerylo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Jerylo reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). The 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 Carrie Jerylo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carrie Jerylo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.