Individual provider Active NPI

Jackelyn Sein, M.A. CCC-SLP/L

  • Speech-Language Pathologist
  • Algonquin, IL
National Provider Identifier
1669846226
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010587 Issued in IL
Practice address
3660 Reserve Dr
Algonquin, IL 60102-6300
Phone
(773) 318-6947
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 146.010587 IL Primary

Addresses

Primary practice location

3660 Reserve Dr
Algonquin, IL 60102-6300

Mailing address

3660 Reserve Dr
Algonquin, IL 60102-6300
Phone (773) 318-6947

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.010587ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1669846226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 RESERVE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026300",
            "telephone_number": "773-318-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 RESERVE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026300",
            "telephone_number": "773-318-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIN",
        "first_name": "JACKELYN",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.