Individual provider Active NPI

Daniel Frederick Mason, CCC-SLP

  • Speech-Language Pathologist
  • Villa Park, IL
National Provider Identifier
1275852642
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012075 Issued in IL
Practice address
830 S Addison Ave
Villa Park, IL 60181-2877
Phone
(630) 620-4433
Fax
(630) 620-1148
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 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 SP-9083-SL MA
Speech-Language Pathologist 235Z00000X 146012075 IL Primary

Addresses

Primary practice location

830 S Addison Ave
Villa Park, IL 60181-2877

Mailing address

609 Midway Park
Glen Ellyn, IL 60137-4228
Phone (312) 725-9612

Other practice location 1

609 Midway Park
Glen Ellyn, IL 60137-4228
Phone (312) 725-9612

Other practice location 2

1555 Bond St Ste 115
Naperville, IL 60563-0138
Phone (630) 357-9699

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

State licenses

LicenseStateTypeSpecialty
1508NHMDClinical Social Worker
146012075ILMDSpeech-Language Pathologist
SP-9083-SLMAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Development of California PC Speech-Language Pathologist Past Accepting new patients
Easter Seals Dupage and the Fox Valley Region Developmental Therapist PastSince Mar 14, 2017 Accepting new patients
Easter Seals Dupage and the Fox Valley Region Speech-Language Pathologist Past Accepting new patients

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1275852642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MIDWAY PARK",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374228",
            "telephone_number": "312-725-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S ADDISON AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812877",
            "telephone_number": "630-620-4433",
            "fax_number": "630-620-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Midway Park",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601374228",
            "country_code": "US",
            "telephone_number": "312-725-9612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Bond St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605630138",
            "country_code": "US",
            "telephone_number": "630-357-9699",
            "fax_number": "630-357-9908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "DANIEL",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP-9083-SL",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.