Sheereen Jessel Olsen, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014984 Issued in IL

Practice address

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826

Phone

(815) 267-7334

Fax

(630) 429-9411

NPI assigned

Jul 19, 2018

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Science

State licenses

Practice roles

Locations

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.

• Shining Star Therapy, LLC

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  • NPI 1689792822

  Developmental Therapist

  NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1629555925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855696",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855826",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032730",
            "country_code": "US",
            "telephone_number": "315-425-1004",
            "fax_number": "315-422-4855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SHEEREEN",
        "middle_name": "JESSEL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Oduro
• Gaylene Marie Oesterreich, MA CCC/SLP
• Brigitte L Oetter, LCSW
• Kaobi Okeke Ewo, RBT
• Elia Olivares, M.S., CCC
• Althea R Olson, LCSW
• Angela Olson, LCPC
• Olushola O Oluyeba
• Charlyne Olznoi
• Madelyn Olznoi, PHARMD

• Speech-Language Pathologist in Plainfield, IL
• Providers in Plainfield, 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 Aug 19, 2019; 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.