Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417835067 Individual Practitioner Female Practitioner

Katherine Lively , MHS, CCC-SLP, L

Speech-Language Pathologist • Berwyn, IL

Professional Overview & Biography Verified Profile Summary

Katherine Lively, MHS, CCC-SLP, L is a registered healthcare professional specializing in Speech-Language Pathologist in Berwyn, IL. Practice services are available at 2822 HOME AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2822 Home Ave

Berwyn, IL 604022950

Telephone 7736204108

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Berwyn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Berwyn, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146011655

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2025

Registered at 2822 HOME AVE, BERWYN, IL 604022950 (Tel: 7736204108)

📍
Updated Business Mailing Address August 22, 2025

Registered at 2822 HOME AVE, BERWYN, IL 604022950 (Tel: 7736204108)

👤
Provider Name / Credentials Updated August 22, 2025

Recorded as KATHERINE LIVELY, MHS, CCC-SLP/L

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2025

Speech-Language Pathologist (License #146011655 in IL)

🟢
Initial NPI Registration & Enumeration August 22, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417835067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2025
Last Update: August 22, 2025
Sole Proprietor: Yes

Mailing Address

2822 Home Ave

Berwyn, IL 604022950

Phone: 7736204108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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