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MS. JENNIFER MARIE VAN BLAKE MHS-CCC-SLP
NPI 1306267604
Speech-Language Pathologist in Mount Prospect, IL

Active since January 04, 2014
113 N SCHOOL ST, MOUNT PROSPECT, IL 60056(847) 350-8846 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jennifer Marie Van Blake Mhs-ccc-slp NPPES

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

MS. JENNIFER MARIE VAN BLAKE MHS-CCC-SLP (NPI 1306267604) is an individual speech-language pathologist provider in Mount Prospect, Illinois, licensed in Illinois (146.007253) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1306267604
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. JENNIFER MARIE VAN BLAKECredential: MHS-CCC-SLP
Location Address113 N SCHOOL STMount Prospect, IL 60056-2540
Mailing Address113 N School StMount Prospect, IL 60056-2540 · (847) 350-8846
Phone(847) 350-8846
Sole ProprietorNo
Enumeration DateJanuary 4, 2014
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1306267604 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 · 146.007253
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.
113 N SCHOOL ST, Mount Prospect, IL 60056
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Marie Van Blake Mhs-ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Van Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Services Il LLC
15 mi
Physical Therapist
1 WESTBROOK CORPORATE CTR STE 300
Westchester, IL 60154
  • Reassigned Medicare billing, Illinois enrollment
  • 184 clinicians in this Medicare group
NPI 1114443462 (877) 407-3422

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130
This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.
377 services11 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
144 services11 patients

Other Providers at the Same Location NPPES

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

PATH TO SPEECH PLLC
Speech-Language Pathologist
113 N SCHOOL ST
MOUNT PROSPECT, IL 60056
Cook County (847) 350-8846

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 Jennifer Van Blake's NPI number?

The NPI number for Jennifer Van Blake is 1306267604. It was assigned to this individual provider in the NPPES registry on January 4, 2014.

Where is Jennifer Van Blake located?

Jennifer Van Blake practices at 113 N School St, Mount Prospect, IL 60056. The listed phone number is (847) 350-8846.

What is Jennifer Van Blake's specialty?

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

Is Jennifer Van Blake enrolled in Medicare?

Yes. Jennifer Van Blake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Van Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Van Blake reassigns Medicare benefits to Fox Rehabilitation Services Il LLC (Westchester, 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 Jennifer Van Blake'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 Jennifer Van Blake was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.