Active NPI
Jaclyn J Oehler, MS, CCC-SLP
- Speech-Language Pathologist
- Bolivia, NC
National Provider Identifier
1114369683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15081
- Practice address
- 35 Referendum Dr NE
Bolivia, NC 28422-7578 - Phone
- (910) 406-5100
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08210 | MD | |
| Speech-Language Pathologist | 235Z00000X | 15081 | NC | Primary |
Addresses
Primary practice location
35 Referendum Dr NE
Bolivia, NC 28422-7578
Mailing address
35 Referendum Dr NE
Bolivia, NC 28422-7578
Phone (910) 756-5640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844702100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15081 | NC | MD | Mental Health Counselor |
| 08210 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frankly Communicating, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Coastal Speech and Reading Center | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
-
- Speech-Language Pathologist
- Westminster, MD
- NPI 1164819454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1114369683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 REFERENDUM DR NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284227578",
"telephone_number": "910-756-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 REFERENDUM DR NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284227578",
"telephone_number": "910-406-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLER",
"first_name": "JACLYN",
"middle_name": "J",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08210",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844702100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.