Individual provider Active NPI

Cassandra Claire Vanden Langenberg, MS CCC SLP

  • Speech-Language Pathologist
  • New Berlin, WI
National Provider Identifier
1659989507
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5030-154 Issued in WI
Practice address
2725 S Moorland Rd
Suite 301
New Berlin, WI 53151
Phone
(414) 329-2500
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 5030-154 WI Primary

Addresses

Primary practice location

2725 S Moorland Rd
Suite 301
New Berlin, WI 53151

Mailing address

W3048 Krueger Rd
Seymour, WI 54165-8232
Phone (920) 419-6559

Other names 1

  • Ms. Cassandra Claire Peters Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414000964 WI Practitioner - Qualified Speech Language Pathologist 7911393210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Rehabilitation LLC CurrentSince Feb 8, 2022 Accepting new patients
Mjcare, Inc. CurrentSince Jun 23, 2024 Accepting new patients

Locations

6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724

2725 S Moorland Rd
Ste 301
New Berlin, WI 53151
Phone (414) 329-2428

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659989507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3048 KRUEGER RD",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541658232",
            "telephone_number": "920-419-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MOORLAND RD",
            "address_2": "SUITE 301",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "414-329-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN LANGENBERG",
        "first_name": "CASSANDRA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-06-21",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5030-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "PETERS",
            "middle_name": "CLAIRE",
            "prefix": "MS.",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.