Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356852362 Individual Practitioner Female Practitioner

Kellie Tarra , MS, CCC-SLP, L

Speech-Language Pathologist • Joliet, IL

Professional Overview & Biography Verified Profile Summary

Kellie Tarra, MS, CCC-SLP, L is a registered healthcare professional specializing in Speech-Language Pathologist in Joliet, IL. Practice services are available at 742 ESSINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

742 Essington Rd

Joliet, IL 604354912

Telephone 8154691500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
108 Specialists

Practicing in Joliet, 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: 2022-05-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License None 14147284

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
146013793 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beverly Blust

Speech-Language Pathologist

NPI 1003332768
Jennifer Vargo , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1003343922

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Lauren Caratachea

Behavior Analyst

NPI 1013341031
Shannon Watson

Behavior Technician

NPI 1013481654
NPI 1013522747

Physical Therapist, Doctor of Physical Therapy

NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated May 06, 2022

Recorded as KELLIE TARRA, MS, CCC-SLP/L

📍
Updated Business Mailing Address March 17, 2022

Registered at 742 ESSINGTON RD, JOLIET, IL 604354912 (Tel: 8154691500)

📍
Updated Practice Location January 18, 2022

Registered at 742 ESSINGTON RD, JOLIET, IL 604354912 (Tel: 8154691500)

📍
Updated Business Mailing Address January 18, 2022

Registered at 1949 TILSON LN, ROMEOVILLE, IL 604465017 (Tel: 7089064161)

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 5757 105TH ST, CHICAGO RIDGE, IL 604152087 (Tel: 7086362002)

📍
Updated Business Mailing Address October 17, 2017

Registered at 6506 W 93RD ST, OAK LAWN, IL 604531444 (Tel: 7089064161)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as KELLIE RUANE, MS, CCC-SLP/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Speech-Language Pathologist (License #14147284 in None)

🟢
Initial NPI Registration & Enumeration October 17, 2017

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: 1356852362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2017
Last Update: May 06, 2022
Sole Proprietor: Yes

Mailing Address

742 Essington Rd

Joliet, IL 604354912

Phone: 8154691500

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.