Individual provider Active NPI

Rebecca Elizabeth Zender, MA LPC, MS CCC-SLP

  • Speech-Language Pathologist
  • Crystal Lake, IL
National Provider Identifier
1295913598
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.016570 Issued in IL
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

Updated by the provider on Oct 21, 2022

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 146.016570 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

LicenseStateTypeSpecialty
171M00000XWIMDCase Manager/Care Coordinator
146.016570ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centegra Primary Care LLC PastSince Oct 23, 2022 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.

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.

Verify at the official NPI Registry.