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ALYSH OETZEL
NPI 1316785116
Speech-Language Pathologist in Marion, IL

Active since July 16, 2024
4505 W DEYOUNG ST STE 203C, MARION, IL 62959(618) 283-2222 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alysh Oetzel NPPES

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

ALYSH OETZEL (NPI 1316785116) is an individual speech-language pathologist provider in Marion, Illinois, licensed in Illinois (146.016624) and active in the NPI registry since July 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1316785116
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALYSH OETZEL
Location Address4505 W DEYOUNG ST STE 203CMarion, IL 62959-5899
Mailing Address611 S Glenview DrCarbondale, IL 62901-2245 · (309) 883-3605
Phone(618) 283-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1316785116 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 · 146.016624
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.
4505 W DEYOUNG ST STE 203C, Marion, IL 62959
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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)

Alysh Oetzel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709355761
PECOS Enrollment IDI20260519003424

Medicare Billing Reassignment

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

Synapse Mental Health PLLC
13 mi
Clinical
1235 CEDAR CT
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1396638847 (618) 467-8805

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 13

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

ANDREA CAROLINE LOPEZ SSP, NCSP
Psychologist (School)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
DEVON GASTON
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
JESSICA WEAVER MS
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
KOFOWOROLA OLANIKE BADEJO
Social Worker (Clinical)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (616) 283-2222
MARIA F ELMQUIST LSW
Social Worker
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
ANNE ROE
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
LYNN ABED-MAHMOUD LPC
Counselor (Mental Health)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
BRITTANY WOOLF BROOKSHIRE LPC
Counselor (Professional)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 823-2222

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 Alysh Oetzel's NPI number?

The NPI number for Alysh Oetzel is 1316785116. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Alysh Oetzel located?

Alysh Oetzel practices at 4505 W Deyoung St Ste 203C, Marion, IL 62959. The listed phone number is (618) 283-2222.

What is Alysh Oetzel's specialty?

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

Is Alysh Oetzel enrolled in Medicare?

Yes. Alysh Oetzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alysh Oetzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysh Oetzel reassigns Medicare benefits to Synapse Mental Health PLLC (Carbondale, 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 Alysh Oetzel'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 Alysh Oetzel was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.