Individual provider Active NPI

Cindy Poegel, MA, CCC-SLP/L

  • Speech-Language Pathologist
  • St Charles, IL
National Provider Identifier
1699286989
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006757 Issued in IL
Practice address
2422 W Main St Unit 3a
St Charles, IL 60175-1010
Phone
(630) 402-2003
Fax
(630) 402-2003
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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 146006757 IL Primary

Addresses

Primary practice location

2422 W Main St Unit 3a
St Charles, IL 60175-1010

Mailing address

906 Sandra St
Kingston, IL 60145-8472
Phone (815) 543-4577

Other names 1

  • Cynthia Poegel Other name

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
146006757ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1699286989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SANDRA ST",
            "city": "KINGSTON",
            "state": "IL",
            "postal_code": "601458472",
            "telephone_number": "815-543-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 W MAIN ST UNIT 3A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751010",
            "telephone_number": "630-402-2003",
            "fax_number": "630-402-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEGEL",
        "first_name": "CINDY",
        "credential": "MA, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "POEGEL",
            "credential": "MA, CCC-SLP/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.