ELIZABETH FUENTES CCC SLP
NPI 1548585300
Speech-Language Pathologist in Libertyville, IL

Q: What is Elizabeth Fuentes's NPI number?

The NPI number for Elizabeth Fuentes is 1548585300. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Q: What is Elizabeth Fuentes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Fuentes was last updated on December 11, 2023. 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.

Active since April 05, 2010Accepts Medicare Assignment

1136 KRISTIN DR, LIBERTYVILLE, IL 60048(847) 508-1098 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elizabeth Fuentes Ccc Slp NPPES

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

ELIZABETH FUENTES CCC SLP (NPI 1548585300) is an individual speech-language pathologist provider in Libertyville, Illinois, licensed in Illinois (146010183) and active in the NPI registry since April 2010. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1548585300

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELIZABETH FUENTESCredential: CCC SLP

Location Address1136 KRISTIN DRLibertyville, IL 60048-1281

Mailing Address1136 Kristin DrLibertyville, IL 60048-1281 · (847) 508-1098

Phone(847) 508-1098

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 5, 2010

Last NPPES UpdateDecember 11, 2023

NPPES CertifiedDecember 11, 2023

✔ NPI 1548585300 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

Licenses✔ Licensed in IL · 146010183✔ Licensed in IL · 24201157

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.

1136 KRISTIN DR, Libertyville, IL 60048

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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 and accepts Medicare assignment

Elizabeth Fuentes Ccc Slp 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 ID1254864952

PECOS Enrollment IDI20241104000379

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc

3.0 mi

Physical Therapist

1865 E BELVIDERE RD
Grayslake, IL 60030

Reassigned Medicare billing, Illinois enrollment
123 clinicians in this Medicare group

NPI 1689141376 (919) 424-4312

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

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

DR. VERA TEREC DDS

Dentist (General Practice)

1136 KRISTIN DR
LIBERTYVILLE, IL 60048

Lake County (847) 918-9215

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 Elizabeth Fuentes's NPI number?

The NPI number for Elizabeth Fuentes is 1548585300. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Elizabeth Fuentes located?

Elizabeth Fuentes practices at 1136 Kristin Dr, Libertyville, IL 60048. The listed phone number is (847) 508-1098.

What is Elizabeth Fuentes's specialty?

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

Is Elizabeth Fuentes enrolled in Medicare?

Yes. Elizabeth Fuentes 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 Elizabeth Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Fuentes reassigns Medicare benefits to Legacy Healthcare Services Inc (Grayslake, 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 Elizabeth Fuentes'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 Elizabeth Fuentes was last updated on December 11, 2023. 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.