Jennifer Marie Van Blake, MHS-CCC-SLP
NPI 1306267604ActiveIndividual· Speech-Language Pathologist· Mount Prospect, IL
Speech-Language Pathologist (MHS-CCC-SLP) in Mount Prospect, Illinois, licensed in IL, with an NPI issued in January 2014. Medicare paid $14,778 for services to 12 patients in 2024.
Overview
| NPI | 1306267604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MHS-CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jan 4, 2014 |
| Last updated in NPPES | Oct 31, 2025 |
| Certified by provider | Oct 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 146.007253 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 593 across 7 procedure codes |
| Paid by Medicare | $14,778 |
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