KATELYN P CISZON SLP/L
NPI 1114248036
Speech-Language Pathologist in Crystal Lake, IL

Active since June 15, 2010Accepts Medicare Assignment
407 E TERRA COTTA AVE STE E, CRYSTAL LAKE, IL 60014(847) 766-0011(847) 999-6722 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Oct 19, 2019 (2 updates tracked since 2019).

About Katelyn P Ciszon Slp/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN P CISZON SLP/L (NPI 1114248036) is an individual speech-language pathologist provider in Crystal Lake, Illinois, licensed in Illinois (242001525) and active in the NPI registry since June 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1114248036
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATELYN P CISZONCredential: SLP/L
Location Address407 E TERRA COTTA AVE STE ECrystal Lake, IL 60014-3602
Mailing Address407 E Terra Cotta AveCrystal Lake, IL 60014-3602 · (847) 766-0011 · Fax (847) 999-6722
Fax(847) 999-6722
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1114248036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 242001525
Definition
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.
407 E TERRA COTTA AVE STE E, Crystal Lake, IL 60014

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn P Ciszon Slp/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113259946
PECOS Enrollment IDI20191029001306

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Ciszon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
407 E TERRA COTTA AVE STE E
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014
Occupational Therapist
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014
Physical Therapist (Sports)
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014
Physical Therapy Assistant
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014
Physical Therapist
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014
Speech-Language Pathologist
407 E TERRA COTTA AVE STE E
CRYSTAL LAKE, IL 60014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Ciszon's NPI number?

The NPI number for Katelyn Ciszon is 1114248036. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Katelyn Ciszon located?

Katelyn Ciszon practices at 407 E Terra Cotta Ave Ste E, Crystal Lake, IL 60014. The listed phone number is (847) 766-0011.

What is Katelyn Ciszon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Katelyn Ciszon enrolled in Medicare?

Yes. Katelyn Ciszon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katelyn Ciszon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Ciszon reassigns Medicare benefits to Empower Advanced Therapy (Crystal Lake, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Ciszon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn Ciszon was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.