MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1891971529

MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) is a healthcare provider. based in St charles, Illinois. specializing in Speech-Language Pathologist. They hold the professional credentials MS, CCC-SLP. They hold a License No. SP.09823 (OH). The NPI Number for MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) is 1891971529

Main info

Female
Name
MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP)
NPI
1891971529
Phone
(630) 444-0077
Address
40W310 LAFOX RD
Enumeration Date
11 January 2008
Last Update Date
9 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP)

  • 40W310 LAFOX RD

    SUITE A1-B1

    ST CHARLES, IL 601756588

    Phone: (630) 444-0077

    Type: Mailing

  • 40W310 LA FOX RD

    SUITE A1-B1

    ST CHARLES, IL 60175

    Phone: (630) 444-0077

    Type: Location

  • 445 E DUBLIN GRANVILLE RD

    WORTHINGTON, OH 430853192

    Phone: (614) 844-3800

    Type: Location

  • 510 E NORTH BROADWAY ST

    COLUMBUS, OH 432144114

    Phone: (614) 263-5151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221207002285IQualified Speech Language PathologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60175)

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Reviews

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Frequently asked questions

How is MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) identified in CMS data?
CMS-hosted NPPES data lists MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) with NPI 1891971529.
Can I rely on MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) being an active provider?
As of the registry snapshot, MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) is marked active.
What is MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP)'s primary classification?
Speech-Language Pathologist is the headline specialty for MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP)?
MRS. CAROLINE M BOLLENTINO (MS, CCC-SLP)'s geographic hint is St Charles, Illinois in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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