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Stacy Pulley , MS CCC-SLP

Speech-Language Pathologist • Grand Rapids, MI

Active NPI 1619247962 Individual Practitioner Female Practitioner
Practice location in NPPES

1331 Lake Dr Se
Grand Rapids, MI 495061674

Call 6164477799 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1331 Lake Dr Se

Grand Rapids, MI 495061674

Telephone 6164477799
Fax 6168840104
Organization at the Same NPPES Address or Phone
Good Life Therapy Llc Facility NPI 1598169682

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

291 active clinicians are listed under Speech-Language Pathologist with a practice address in Grand Rapids, MI (4,313 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0.3% of these 291 clinicians have the CMS telehealth indicator.

2.7% of these 291 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 12032991

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Ryan Gary , PT, DPT

Physical Therapist

NPI 1003247891

Physical Therapist, Doctor of Physical Therapy

Dr. Adam Long , PT, DPT

Physical Therapist

NPI 1417401027

Physical Therapist, Doctor of Physical Therapy

Dr. Grant Stevens , DPT

Physical Therapist

NPI 1841642816

Doctor of Physical Therapy

Dr. Ann Venema , DPT

Physical Therapist

NPI 1578847810

Doctor of Physical Therapy

Career & Practice History

NPI enumerated January 04, 2012.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619247962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2012
Last Update: January 04, 2012
Sole Proprietor: Yes

Mailing Address

1331 Lake Dr Se

Grand Rapids, MI 495061674

Phone: 6164477799

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.