Individual provider Active NPI

Jennifer Lemelle

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1104364512
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
135 Ocean Pkwy
7M
Brooklyn, NY 11218-2567
Phone
(718) 208-7371
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

135 Ocean Pkwy
7M
Brooklyn, NY 11218-2567

Mailing address

135 Ocean Pkwy
7M
Brooklyn, NY 11218-2567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624002583 NC Practitioner - Qualified Speech Language Pathologist 0244514164 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Care Home Therapy LLCGroup PAC ID 8527383165, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

149 Brentfield Loop
Morrisville, NC 27560-6879
Phone (732) 236-3857

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14367NCMDPharmacist
011445NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Galberth Health Speech-Language Pathologist CurrentSince Jun 14, 2021 Accepting new patients
Fox Rehab SLP NC PLLC Speech-Language Pathologist CurrentSince Aug 1, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jun 28, 2024 Accepting new patients
True Care Home Therapy LLC CurrentSince Dec 13, 2021 Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Jun 28, 2024 Accepting new patients
The Speech Room Speech-Language Pathologist PastSince Feb 1, 2017 Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1104364512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OCEAN PKWY",
            "address_2": "7M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OCEAN PKWY",
            "address_2": "7M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182567",
            "telephone_number": "718-208-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMELLE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.

Verify at the official NPI Registry.