Northern Gems Speech-Language and Feeding Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NORTHERN GEMS SPEECH-LANGUAGE AND FEEDING THERAPY, LLC

Practice address

220 W Houghton Ave
West Branch, MI 48661-1220

Phone

(989) 701-4909

NPI assigned

Jun 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenifer Michelle Freimark, CCC-SLPNPI 1831873090

Title

Speech-Language Pathologist

Phone

(989) 701-4909

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenifer Michelle Freimark, CCC-SLP

  • Speech-Language Pathologist
  • West Branch, MI
  • NPI 1831873090
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1013694520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 MILDRED DR",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619445",
            "telephone_number": "989-701-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611220",
            "telephone_number": "989-701-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN GEMS SPEECH-LANGUAGE AND FEEDING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "FREIMARK",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "989-701-4909",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1831873090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN SLP LICENSE",
            "identifier": "7101007385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in West Branch, MI
• Providers in West Branch, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.