Susan Elizabeth Jebsen, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1454 N Waterbury Cir
Palatine, IL 60074-7068

Phone

(847) 358-0790

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194844159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 N WATERBURY CIR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747068",
            "telephone_number": "847-358-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 N WATERBURY CIR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747068",
            "telephone_number": "847-358-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBSEN",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris John Jaimon
• James P Popp LTD (Debra Kowalczyk, MA, LCPC)
• Connie Jaurez, LCSW
• Jean Garrity Arnold LMFT, LLC
• Jean Garrity Arnold, LMFT, LLC (The Palatine Center for Behavioral Health)
• Jessica Britten D.D.S. P.C.
• Jessica Thrall PLLC
• Jim Brunetti
• Stephanie Jimenez Martinez, LPC
• Jiva Psychiatry, PLLC

• Speech-Language Pathologist in Palatine, IL
• Providers in Palatine, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.