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Active NPI 1134382781 Individual Practitioner Male Practitioner

Jason Mitsdarffer , MS, CCC-SLP

Speech-Language Pathologist • Wauconda, IL

Professional Overview & Biography Verified Profile Summary

Jason Mitsdarffer, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wauconda, IL. Practice services are available at 1894 APPLEWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1894 Applewood Dr

Wauconda, IL 600841422

Telephone 8473777346

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wauconda, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Wauconda, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.006507

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Lori Inman , OTR

Occupational Therapist - Driving and Community Mobility

NPI 1164678231

Occupational Therapist Registered

Angela Trakas , COTA, L

Occupational Therapy Assistant

NPI 1386890184

Certified Occupational Therapy Assistant, L

Aileen Sandoval , PT

Physical Therapist

NPI 1548542087

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2008

Registered at 1894 APPLEWOOD DR, WAUCONDA, IL 600841422 (Tel: 8473777346)

📍
Updated Business Mailing Address July 03, 2008

Registered at 1894 APPLEWOOD DR, WAUCONDA, IL 600841422

👤
Provider Name / Credentials Updated July 03, 2008

Recorded as JASON MITSDARFFER, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2008

Speech-Language Pathologist (License #146.006507 in IL)

🟢
Initial NPI Registration & Enumeration July 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134382781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2008
Last Update: July 03, 2008
Sole Proprietor: Yes

Mailing Address

1894 Applewood Dr

Wauconda, IL 600841422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.