Jessica Masciarelli, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9723 Issued in NC

Practice address

311 Josiah Dr
Clayton, NC 27527-4248

Phone

(919) 763-5703

Fax

(919) 243-8229

NPI assigned

Aug 12, 2011

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• About Speech, Speech and Language Therapy, PLLC

  • Speech-Language Pathologist
  • Clayton, NC
  • NPI 1902249451
  NPD Authorized official

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1023397601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JOSIAH DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274248",
            "telephone_number": "919-763-5703",
            "fax_number": "919-243-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JOSIAH DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274248",
            "telephone_number": "919-763-5703",
            "fax_number": "919-243-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 E Booker Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779405",
            "country_code": "US",
            "telephone_number": "919-938-3824",
            "fax_number": "919-243-8229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 E Booker Dairy Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779449",
            "country_code": "US",
            "telephone_number": "919-763-5703",
            "fax_number": "919-243-8229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Bexley Way",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275273344",
            "country_code": "US",
            "telephone_number": "919-763-5703",
            "fax_number": "919-243-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCIARELLI",
        "first_name": "JESSICA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Raquel Marchan Hernandez, SA-C
• Steven Angelos Marinos, NURSE PRACTITIONER
• Jason Michael Marrazzo, D.D.S.
• Mary's Place Care Services LLC (Nurse Next Door)
• Jessica Maschoff, CNS, LN
• Bindu Mason, NP
• Patricia Griffis Mason, CRTT RCP
• Joseph Ernesto Massaglia Jr., DO
• Anna Barbour Massengill, RNC, WHNP
• Ana Kaelin Matos, NP

• Speech-Language Pathologist in Clayton, NC
• Providers in Clayton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.