Active NPI
Jennifer Berry Whitten, M.A., CCC-SLP
- Speech-Language Pathologist
- McKinney, TX
National Provider Identifier
1063733889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18742
- Practice address
- 9705 Mystic Dunes Drive
McKinney, TX 75070 - Phone
- (254) 592-9095
- Fax
- (877) 273-8002
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18742 | TX | Primary |
Addresses
Primary practice location
9705 Mystic Dunes Drive
McKinney, TX 75070
Mailing address
PO Box 866863
Plano, TX 75070
Phone (214) 497-5684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18742 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1063733889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 866863",
"city": "PLANO",
"state": "TX",
"postal_code": "75070",
"telephone_number": "214-497-5684",
"fax_number": "877-273-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9705 MYSTIC DUNES DRIVE",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "254-592-9095",
"fax_number": "877-273-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEN",
"first_name": "JENNIFER",
"middle_name": "BERRY",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.