Amber Mueller, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1460008313 Issued in IL

Practice address

110 Franks Rd
Marengo, IL 60152-3425

Phone

(815) 568-6511

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By 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

Practice roles

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.

• Marengo School District 154

  • Local Education Agency (LEA)
  • Marengo, IL
  • NPI 1427236512
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1306358841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10636 ORTH RD",
            "city": "GARDEN PRAIRIE",
            "state": "IL",
            "postal_code": "610389735",
            "telephone_number": "815-751-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANKS RD",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523425",
            "telephone_number": "815-568-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "AMBER",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1460008313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marengo-Union Elementary Consolidated School District 165
• Marnul Eye Care, P.C.
• Paul Allen Marnul, O.D.
• Madeline Meidl
• Stacey Moorhouse
• MWB Health Services Inc
• Rachel Narofsky, RDN, LDN
• Erika Nelson, ED.S.
• New Hope Counseling Service
• Jennifer J. Pagone, LCPC

• Speech-Language Pathologist in Marengo, IL
• Providers in Marengo, 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 Oct 24, 2017; 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.