Active NPI
Cyndi Luann Joplin, MA, CCC-SLP
- Speech-Language Pathologist
- Crystal Lake, IL
National Provider Identifier
1972623668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4701 N Oak St
Crystal Lake, IL 60012-3309 - Phone
- (815) 788-1020
- Fax
- (815) 788-1422
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Primary |
Addresses
Primary practice location
4701 N Oak St
Crystal Lake, IL 60012-3309
Mailing address
82 Woodbine Dr
Crystal Lake, IL 60014-5050
Phone (815) 788-1020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035640653 | Other | IL | BLUE CROSS BLUE SHIELD |
| 303546180001 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146007532 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Centers for Therapy | Speech-Language Pathologist | Past | Accepting new patients |
| Midwest Center for Childrens Development NFP | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Crystal Lake, IL
- NPI 1538281340
Speech-Language Pathologist
-
- Physical Therapist
- Crystal Lake, IL
- NPI 1780336123
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972623668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WOODBINE DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600145050",
"telephone_number": "815-788-1020",
"fax_number": "815-788-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N OAK ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123309",
"telephone_number": "815-788-1020",
"fax_number": "815-788-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOPLIN",
"first_name": "CYNDI",
"middle_name": "LUANN",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0035640653",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303546180001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.