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CARRIE NICOLLE MA, CCC-SLP/L
NPI 1801252879
Speech-Language Pathologist in Cary, IL

Active since January 06, 2016
653 KRENZ AVE, CARY, IL 60013(815) 289-4183(847) 516-4714 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Nicolle Ma, Ccc-slp/l NPPES

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

CARRIE NICOLLE MA, CCC-SLP/L (NPI 1801252879) is an individual speech-language pathologist provider in Cary, Illinois, licensed in Illinois (146.006549) and active in the NPI registry since January 2016. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1801252879
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARRIE NICOLLECredential: MA, CCC-SLP/L
Location Address653 KRENZ AVECary, IL 60013-2011
Mailing Address653 Krenz AveCary, IL 60013-2011 · (815) 289-4183 · Fax (847) 516-4714
Phone(815) 289-4183
Fax(847) 516-4714
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 6, 2016
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1801252879 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 · 146.006549
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.
653 KRENZ AVE, Cary, IL 60013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Nicolle Ma, Ccc-slp/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345736518
PECOS Enrollment IDI20251226002088

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 Nicolle's NPI number?

The NPI number for Carrie Nicolle is 1801252879. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Carrie Nicolle located?

Carrie Nicolle practices at 653 Krenz Ave, Cary, IL 60013. The listed phone number is (815) 289-4183.

What is Carrie Nicolle's specialty?

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

Is Carrie Nicolle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carrie Nicolle was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.