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AAC ON THE LAKESHORE, PLLC
NPI 1821647488
Speech-Language Pathologist in Grand Rapids, MI

Active since September 06, 2019
330 E BELTLINE AVE NE STE 220, GRAND RAPIDS, MI 49506(616) 260-3013(616) 935-0748 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, Aug 6, 2020, Apr 15, 2020 and 2 more (5 updates tracked since 2019).

About Aac On The Lakeshore, Pllc NPPES

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

AAC ON THE LAKESHORE, PLLC (NPI 1821647488) is a healthcare organization registered as a speech-language pathologist in Grand Rapids, Michigan and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Grand Rapids and lists Linda A Kelley, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1821647488
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameAAC ON THE LAKESHORE, PLLC
Location Address330 E BELTLINE AVE NE STE 220Grand Rapids, MI 49506-1267
Mailing Address330 E Beltline Ave Ne Ste 220Grand Rapids, MI 49506-1267 · (616) 260-3013 · Fax (616) 935-0748
Phone(616) 260-3013
Fax(616) 935-0748
Organization SubpartNo
Authorized OfficialLinda A KelleySpeech-language Pathologist · (616) 260-3013
Enumeration DateSeptember 6, 2019
Last NPPES UpdateDecember 19, 20255 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1821647488 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.
330 E BELTLINE AVE NE STE 220, Grand Rapids, MI 49506
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Secondary Practice Location 1

Location 1330 E Beltline Ave NE Ste 220Grand Rapids, MI 49506-1267 · Phone (616) 260-3013 · Fax (616) 935-0748

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Aac On The Lakeshore, 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 Aac On The Lakeshore, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Linda Hartman, MA, CCC-SLP
Qualified Speech Language Pathologist
NPI 1457558264
330 E BELTLINE AVE NE STE 220
Grand Rapids, MI 49506
(616) 260-3013
Same address

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 Aac On The Lakeshore, PLLC's NPI number?

The NPI number for Aac On The Lakeshore, PLLC is 1821647488. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Aac On The Lakeshore, PLLC located?

Aac On The Lakeshore, PLLC is located at 330 E Beltline Ave NE Ste 220, Grand Rapids, MI 49506. The listed phone number is (616) 260-3013.

What is Aac On The Lakeshore, PLLC's specialty?

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

Is Aac On The Lakeshore, PLLC enrolled in Medicare?

Yes. Aac On The Lakeshore, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aac On The Lakeshore, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Aac On The Lakeshore, 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.

What insurance does Aac On The Lakeshore, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Aac On The Lakeshore, PLLC 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 Aac On The Lakeshore, PLLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.