Individual provider Active NPI

Jennifer Lynn Reiter, M.S. CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1053626341
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146009904 Issued in IL
Practice address
1640 N Wells St
Suite 103
Chicago, IL 60614-6087
Phone
(312) 642-4300
NPI assigned
Aug 11, 2010
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146009904 IL Primary

Addresses

Primary practice location

1640 N Wells St
Suite 103
Chicago, IL 60614-6087

Mailing address

1640 N Wells St Unit 103
Chicago, IL 60614-6006
Phone (312) 642-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209000906 MI Practitioner - Qualified Speech Language Pathologist 6800380882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14823 Williams CT
Gibraltar, MI 48173-9419

4600 Touchton Rd E
Suite 100
Jacksonville, FL 32246-8299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146009904ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reline Consulting LLC CurrentSince Oct 13, 2025 Accepting new patients
Reline Consulting LLC CurrentSince May 26, 2024 Accepting new patients
Oak Tree Developmental Center Speech-Language Pathologist PastSince Nov 30, 2025 Accepting new patients

Locations

13760 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 224-2554

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1053626341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 N WELLS ST UNIT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146006",
            "telephone_number": "312-642-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N WELLS ST",
            "address_2": "SUITE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146087",
            "telephone_number": "312-642-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.