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LILY SOULE CF-SLP
NPI 1891421616
Speech-Language Pathologist in Grand Haven, MI

Active since July 25, 2022
16760 LINCOLN ST, GRAND HAVEN, MI 49417(616) 935-3300 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lily Soule Cf-slp NPPES

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

LILY SOULE CF-SLP (NPI 1891421616) is an individual speech-language pathologist provider in Grand Haven, Michigan and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1891421616
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLILY SOULECredential: CF-SLP
Location Address16760 LINCOLN STGrand Haven, MI 49417-8864
Mailing AddressPo Box 419885Boston, MA 02241-9885 · (888) 830-4125
Phone(616) 935-3300
Sole ProprietorNo
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1891421616 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.
16760 LINCOLN ST, Grand Haven, MI 49417
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Soule Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Mitten State Pediatric Therapy LLC
31 mi
Occupational Therapist
5258 PLAINFIELD AVE NE STE A
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1063021715 (616) 466-4068

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 20

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

JACLYN OLDENBURG MS, OT
Occupational Therapist
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 935-3300
MS. CHELSEA MILLER MS, CCC-SLP
Speech-Language Pathologist
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 935-3300
MRS. SARAH MARIE DEVISSER LMSW
Social Worker (Clinical)
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 365-8920
ABIGAIL MAYHANAGIAN PT, DPT
Physical Therapist
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 935-3300
SAMANTHA BREWER
Physical Medicine & Rehabilitation
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 935-3300
SAMANTHA HORN
Behavior Technician
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 317-2672
MALLORY ALEXIS CRONK
Speech-Language Pathologist
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 935-3300
JESSICA AMBER WEISHAAR
Behavior Technician
16760 LINCOLN ST
GRAND HAVEN, MI 49417
Ottawa County (616) 317-2672

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 Lily Soule's NPI number?

The NPI number for Lily Soule is 1891421616. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Lily Soule located?

Lily Soule practices at 16760 Lincoln St, Grand Haven, MI 49417. The listed phone number is (616) 935-3300.

What is Lily Soule's specialty?

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

Is Lily Soule enrolled in Medicare?

Yes. Lily Soule is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Soule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Soule reassigns Medicare benefits to Mitten State Pediatric Therapy LLC (Grand Rapids, MI). 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 Lily Soule'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 Lily Soule was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.