Individual provider Active NPI

Cassandra Barrera, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Grayslake, IL
National Provider Identifier
1124959804
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30994 Issued in CA
Practice address
1318 Churchill LN
Grayslake, IL 60030-3751
Phone
(951) 534-9916
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.017466 IL
Speech-Language Pathologist 235Z00000X 30994 CA Primary

Addresses

Primary practice location

1318 Churchill LN
Grayslake, IL 60030-3751

Mailing address

1318 Churchill LN
Grayslake, IL 60030-3751
Phone (951) 534-9916

Other practice location 1

675 Clover Valley Rd
Upper Lake, CA 95485-9220
Phone (707) 275-2655

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30994CAMDSpeech-Language Pathologist
146.017466ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1124959804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 CHURCHILL LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303751",
            "telephone_number": "951-534-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 CHURCHILL LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303751",
            "telephone_number": "951-534-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Clover Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Lake",
            "state": "CA",
            "postal_code": "954859220",
            "country_code": "US",
            "telephone_number": "707-275-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "CASSANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017466",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.