Individual provider Active NPI

Jennifer Ashley Weigand, SLP

  • Speech-Language Pathologist
  • West Chicago, IL
National Provider Identifier
1376802330
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.002305 Issued in IL
Practice address
4N211 Kaelin Rd
West Chicago, IL 60185-1263
Phone
(630) 473-8315
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.002305 IL Primary

Addresses

Primary practice location

4N211 Kaelin Rd
West Chicago, IL 60185-1263

Mailing address

4N211 Kaelin Rd
West Chicago, IL 60185-1263
Phone (630) 390-9839

Other practice location 1

1545 Temple Lane
Rockford, IL 61112-1097
Phone (815) 332-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000931 IL Practitioner - Qualified Speech Language Pathologist 7113303314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians
Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

525 Harvest Gate
Lake in the Hills, IL 60156-4877
Phone (847) 957-7070

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242.002305ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Jul 24, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 24, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Jul 24, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Jul 24, 2025 Accepting new patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince Aug 12, 2022 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Aug 12, 2022 Accepting new patients
Brave Speech and Voice Therapy, LLC Speech-Language Pathologist CurrentSince Jul 28, 2019 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1376802330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N211 KAELIN RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851263",
            "telephone_number": "630-390-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4N211 KAELIN RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851263",
            "telephone_number": "630-473-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Temple Lane",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611121097",
            "country_code": "US",
            "telephone_number": "815-332-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGAND",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.