Jennifer Kristine Chacon, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010813 Issued in VA

Practice address

3905 US 29 Bus
Danville, VA 24540

Phone

(434) 661-5352

Fax

(434) 302-9988

NPI assigned

Dec 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Stella Speech Therapy PLLC

  • Speech-Language Pathologist
  • Danville, VA
  • NPI 1710802210
  NPD (past) Authorized official

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1073598504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 DAVID GILES LN",
            "city": "BLAIRS",
            "state": "VA",
            "postal_code": "245273768",
            "telephone_number": "434-661-5352",
            "fax_number": "434-302-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 US 29 BUS",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-661-5352",
            "fax_number": "434-302-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "JENNIFER",
        "middle_name": "KRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK #",
            "identifier": "8T3197",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK #",
            "identifier": "1045589",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centra Health, Inc. Community Mental Health Programs
• Centra Medical Group, LLC
• Centra Medical Group, LLC
• Centra Medical Group, LLC
• Central Vision, P.C.
• Carrington Atkins Chambers, LPC
• Zenise Ronnae Chambers
• Randy Michael Chan, D.O.
• Susan Ann Chandler, LPC
• Changing Lives Therapeutic Service, LLC

• Speech-Language Pathologist in Danville, VA
• Providers in Danville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.