Individual provider Active NPI

Jennifer Beth Weidenbach Brandt, SLP

  • Speech-Language Pathologist
  • Vernon Hills, IL
National Provider Identifier
1104917442
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006614 Issued in IL
Practice address
929 Belle Isle LN
Vernon Hills, IL 60061-3234
Phone
(847) 624-1836
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 146006614 IL Primary

Addresses

Primary practice location

929 Belle Isle LN
Vernon Hills, IL 60061-3234

Mailing address

929 Belle Isle LN
Vernon Hills, IL 60061-3234
Phone (847) 624-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vybrence Communication & Consulting Innovations, LLC Speech-Language Pathologist CurrentSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1104917442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BELLE ISLE LN",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613234",
            "telephone_number": "847-624-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BELLE ISLE LN",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613234",
            "telephone_number": "847-624-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENBACH BRANDT",
        "first_name": "JENNIFER",
        "middle_name": "BETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.