Individual provider Active NPI

Jennifer Rebecca Massarelli, M.ED

  • Specialist
  • Glenview, IL
National Provider Identifier
1255299806
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
IEIN174836 Issued in IL
Practice address
1740 Waukegan Rd # 209
Glenview, IL 60025-2157
Phone
(847) 309-5366
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IEIN174836 IL Primary

Addresses

Primary practice location

1740 Waukegan Rd # 209
Glenview, IL 60025-2157

Mailing address

801 Normandy LN
Glenview, IL 60025-3209
Phone (847) 309-5366

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 Education

State licenses

LicenseStateTypeSpecialty
IEIN174836ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1255299806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORMANDY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253209",
            "telephone_number": "847-309-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WAUKEGAN RD # 209",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252157",
            "telephone_number": "847-309-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARELLI",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "IEIN174836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.