Active NPI
Jessica Grace Butler, MA, CCC-SLP
- Speech-Language Pathologist
- Lake Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101009837
- Practice address
- 1870 W Clarkston Rd
Lake Orion, MI 48362-2269 - Phone
- (810) 358-0373
- NPI assigned
- Feb 23, 2026
- Last updated
- Feb 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 7101009837 | MI | Primary |
Addresses
Primary practice location
1870 W Clarkston Rd
Lake Orion, MI 48362-2269
Mailing address
1100 W Newark Rd
Lapeer, MI 48446-9449
Phone (810) 358-0373
Other practice location 1
1100 W Newark Rd
Lapeer, MI 48446-9449
Phone (810) 358-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260319002913 | MI | Practitioner - Qualified Speech Language Pathologist | 1850875675 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1100 W Newark Rd
Lapeer, MI 48446-9449
44225 W 12 Mile Rd
Suite 106
Novi, MI 48377-2640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101009837 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Therapy Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1870 W Clarkston Rd
Lake Orion, MI 48362
Phone (810) 358-0373
1100 W Newark Rd
Lapeer, MI 48446
Phone (810) 358-0373
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Lapeer, MI
- NPI 1114446895
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1073467452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W NEWARK RD",
"city": "LAPEER",
"state": "MI",
"postal_code": "484469449",
"telephone_number": "810-358-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 W CLARKSTON RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483622269",
"telephone_number": "810-358-0373"
}
],
"practiceLocations": [
{
"address_1": "1100 W Newark Rd",
"address_purpose": "LOCATION",
"city": "Lapeer",
"state": "MI",
"postal_code": "484469449",
"country_code": "US",
"telephone_number": "810-358-0373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "JESSICA",
"middle_name": "GRACE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101009837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.