Individual provider Active NPI

Lilian Mae Zack, CCC-SLP

  • Speech-Language Pathologist
  • Saint Cloud, MN
National Provider Identifier
1306753231
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LICC-4480 Issued in MN
Practice address
2835 W Saint Germain St Ste 300
Saint Cloud, MN 56301-6281
Phone
(320) 259-4151
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 1044013 MN
Speech-Language Pathologist 235Z00000X LICC-4480 MN Primary

Addresses

Primary practice location

2835 W Saint Germain St Ste 300
Saint Cloud, MN 56301-6281

Mailing address

1201 2ND St S
Waite Park, MN 56387-2325
Phone (320) 370-8000

Other practice location 1

1201 2nd St S
Waite Park, MN 56387-2325
Phone (320) 370-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1306753231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 2ND ST S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563872325",
            "telephone_number": "320-370-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST STE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016281",
            "telephone_number": "320-259-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 2nd St S",
            "address_purpose": "LOCATION",
            "city": "Waite Park",
            "state": "MN",
            "postal_code": "563872325",
            "country_code": "US",
            "telephone_number": "320-370-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACK",
        "first_name": "LILIAN",
        "middle_name": "MAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "1044013",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-4480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.