Active NPI
Rebecca Elizabeth Zender, MA LPC, MS CCC-SLP
- Speech-Language Pathologist
- Crystal Lake, IL
National Provider Identifier
1295913598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.016570
- Practice address
- 500 Coventry LN Ste 170
Crystal Lake, IL 60014-7592 - Phone
- (815) 356-2700
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.016570 | IL | Primary |
| Case Manager/Care Coordinator | 171M00000X | 171M00000X | WI |
Addresses
Primary practice location
500 Coventry LN Ste 170
Crystal Lake, IL 60014-7592
Mailing address
24194 N Grandview Dr
Lake Barrington, IL 60010-1737
Phone (414) 336-9293
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 Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171M00000X | WI | MD | Case Manager/Care Coordinator |
| 146.016570 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centegra Primary Care LLC | Past | Accepting new patients | |
| Bell Therapy Family Care Cmu | Past | Accepting new patients | |
| Broadstep-Wisconsin, Inc. | 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 and National Provider Directory roles.
-
dba Centegra Physician Care McHenry County Orthopedic
- Family Medicine Physician
- Crystal Lake, IL
- NPI 1356883599
-
- Case Management Agency
- Milwaukee, WI
- NPI 1205032737
-
- Case Management Agency
- West Allis, WI
- NPI 1972708832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1295913598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24194 N GRANDVIEW DR",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600101737",
"telephone_number": "414-336-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COVENTRY LN STE 170",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147592",
"telephone_number": "815-356-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENDER",
"first_name": "REBECCA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MA LPC, MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2022-10-21",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.016570",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": "171M00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.