Individual provider Active NPI

Jennifer Holmberg

  • Speech-Language Pathologist
  • Pikesville, MD
National Provider Identifier
1104505759
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02726L Issued in MD
Practice address
1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone
(443) 360-5527
Fax
(877) 353-0384
NPI assigned
Jul 12, 2023
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02726L MD Primary
Speech-Language Pathologist 235Z00000X 41YS01298800 NJ
Speech-Language Pathologist 235Z00000X 2202011716 VA

Addresses

Primary practice location

1848 Reisterstown Rd
Pikesville, MD 21208-1379

Mailing address

6202 Gist Ave
Baltimore, MD 21215-3608
Phone (443) 360-5527

Other practice location 1

6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422

Other names 1

  • Jennifer Liszewski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NJ, VA, CT5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230802000821 MD Practitioner - Qualified Speech Language Pathologist 7214398635 Reassigns benefits to 1 organization
I20230802000980 DC Practitioner - Qualified Speech Language Pathologist 7214398635 Reassigns benefits to 1 organization
I20250218001910 NJ Practitioner - Qualified Speech Language Pathologist 7214398635 Reassigns benefits to 1 organization
I20250303000322 VA Practitioner - Qualified Speech Language Pathologist 7214398635 Reassigns benefits to 1 organization
I20250819004210 CT Practitioner - Qualified Speech Language Pathologist 7214398635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8208CTMDClinical Social Worker
02726LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Speech-Language Pathologist CurrentSince Jan 1, 2025 Accepting new patients
Fox Rehab SLP CT LLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Fox Rehabilitation Services LLC CurrentSince Jul 1, 2023 Accepting new patients
Lea's Place LLC CurrentSince Aug 3, 2026 Accepting new patients

Locations

1848 Reisterstown Rd
Pikesville, MD 21208
Phone (443) 360-5527

1848 Reisterstown Rd
Ste A
Pikesville, MD 21208
Phone (410) 292-8725

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

2600 US Route 1
North Brunswick, NJ 08902
Phone (732) 444-2000

2 Hospital Dr
Plainsboro, NJ 08536
Phone (267) 249-5721

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

309 Fries Mill Rd
Ste 17
Sewell, NJ 08080
Phone (856) 589-7723

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104505759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 GIST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153608",
            "telephone_number": "443-360-5527",
            "fax_number": "877-353-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081379",
            "telephone_number": "443-360-5527",
            "fax_number": "877-353-0384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6451 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212121010",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02726L",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01298800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202011716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LISZEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

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

Verify at the official NPI Registry.