MARY VENEGONI (NPI# 1104193549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104193549 |
| Entity Type | Individual |
| Full Name | MARY VENEGONI |
| Credential | SLP |
| Practice Address |
209 N Cummings Ln Washington IL 61571-2181 |
| Practice Telephone | 3098662305 |
| Practice Fax Number | 3094443893 |
| Mailing Telephone | 3098662305 |
| Mailing Fax Number | 3094443893 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
209 N CUMMINGS LN |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588715148 | Courtney E Erickson | Occupational Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2007-01-12 |
| 1962759761 | Ashley Pollman | Physical Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2012-08-10 |
| 1730443953 | Laura Hagan | Physical Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2012-07-03 |
| 1528339835 | Jennifer N Beard | Physical Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2012-01-18 |
| 1033480355 | Stephanie R Foster | Physical Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2012-01-18 |
| 1154698579 | Melissa Blaum | Speech-Language Pathologist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2011-11-30 |
| 1578830998 | Tricia Lefante | Occupational Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2011-11-30 |
| 1447527874 | Erica Roberts | Speech-Language Pathologist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2011-11-30 |
| 1700153137 | Marcy Short | Speech-Language Pathologist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2011-11-30 |
| 1215204631 | Candi Kupris | Physical Therapist | 209 N Cummings Ln, Washington, IL 61571-2181 | 2011-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119055 | Leslee Dean | Speech-Language Pathologist | 619 Varnum St Nw # A, Washington, DC 20011-4651 | 2020-09-23 |
| 1649885948 | Zoe E Aquilino | Speech-Language Pathologist | 1407 New Jersey Ave Nw, Washington, DC 20001-2413 | 2020-09-14 |
| 1164036471 | Bridget Joyce | Speech-Language Pathologist | 2700 Connecticut Ave Nw Apt 709, Washington, DC 20008-5312 | 2020-09-03 |
| 1457977787 | Janki Boghara | Speech-Language Pathologist | 1833 Irving St Nw Lowr Unit, Washington, DC 20010-2614 | 2020-06-23 |
| 1508486135 | Taylor Groth | Speech-Language Pathologist | 1011 1st St Se Apt 503, Washington, DC 20003-5338 | 2020-04-23 |
| 1982224754 | Candace Michelle Thomas | Speech-Language Pathologist | Ludlow-taylor Elementary School, 659 G Street, Ne, Washington, DC 20002-2000 | 2020-04-22 |
| 1881220911 | Emilie Okopal | Speech-Language Pathologist | 310 Jefferson Ave Apt 3, Washington, PA 15301-4207 | 2020-03-20 |
| 1265067995 | Andrew Clare | Speech-Language Pathologist | 2115 G St Nw Ste B01, Washington, DC 20052-0073 | 2020-03-03 |
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1548892946 | Early Access, LLC. | Speech-Language Pathologist | 325 P St Sw Apt 301b, Washington, DC 20024-2918 | 2020-02-04 |
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| City | WASHINGTON |
| Zip Code | 61571 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.