Mommas Light LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOMMAS LIGHT LLC

Practice address

3501 Fortuna CT
Huntingtown, MD 20639-4202

Phone

(717) 433-3617

NPI assigned

Mar 13, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Anderson, M.S., CCC-SLPNPI 1669889424

Title

Owner/Speech Pathologist

Phone

(717) 433-3617

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Mary Ann Anderson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lakeside, CA
  • NPI 1669889424
  NPD Authorized official

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1104773647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FORTUNA CT",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206394202",
            "telephone_number": "717-433-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FORTUNA CT",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206394202",
            "telephone_number": "717-433-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMAS LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "717-433-3617",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varkey Mathew, MD
• Manoj Mathur, MD
• Mukesh N Mathur, M.D.
• Shelley McClain
• Jehryco Miranda, DC
• Mommas Light Therapy Co
• Montgomery Brain and Spine LLC
• April Dawn Morrissey, LCSW-C
• Vasundhara Muthu, M.D.
• Alicia Nahas, OTD, MS, OTR/L

• Clinic/Center in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.