Jessica Lyn Pomerville, MA-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008585 Issued in MI

Practice address

7960 Grand River Ave
Ste 280
Brighton, MI 48114

Phone

(810) 412-4183

Fax

(810) 454-2428

NPI assigned

Aug 14, 2023

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humpz LLCGroup PAC ID 1850799792, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Humpz LLC

  • Speech-Language Pathologist
  • Davison, MI
  • NPI 1366028490
  Medicare reassignment Care Compare group
• Pco PC

  • Optometrist
  • Davison, MI
  • NPI 1114082047
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1114700382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 LAPEER RD STE C",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233620",
            "telephone_number": "810-412-4183",
            "fax_number": "810-309-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 GRAND RIVER AVE",
            "address_2": "STE 280",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-412-4183",
            "fax_number": "810-454-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Lapeer Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484233620",
            "country_code": "US",
            "telephone_number": "810-412-4183",
            "fax_number": "810-309-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMERVILLE",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Physical Therapy Specialists Limited Partnership
• April L Pocalujka
• Bridget Lee Podvin, PTA
• Kelly Ann Pohlman, DDS, MS
• Veronika Poliakova
• Leanne Marie Pominville
• Heather Popkey, LLMSW
• Raeanna Hope Porrett, MS, OTRL
• Michelle R Porter, DPT
• Caitlin Flynn Porubsky, D.O.

• Speech-Language Pathologist in Brighton, MI
• Providers in Brighton, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.