Active NPI
Araceli Mendoza
- Speech-Language Pathologist
- Rockford, IL
National Provider Identifier
1487227419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.018786
- Practice address
- 1221 Kent St
Rockford, IL 61102-2748 - Phone
- (779) 770-8933
- NPI assigned
- Jul 19, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.018786 | IL | Primary |
| Speech-Language Assistant | 2355S0801X | 217.000425 | IL | |
| Speech-Language Pathologist | 235Z00000X | 242.008111 | IL |
Addresses
Primary practice location
1221 Kent St
Rockford, IL 61102-2748
Mailing address
1221 Kent St
Rockford, IL 61102-2748
Phone (779) 770-8933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217.000425 | IL | MD | Speech-Language Assistant |
| 242.008111 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1487227419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 KENT ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022748",
"telephone_number": "779-770-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 KENT ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022748",
"telephone_number": "779-770-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "ARACELI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.018786",
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "IL",
"license": "217.000425",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.008111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.