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

Last updated

Nov 17, 2025By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humpz LLC

  dba Thrive Therapy Centers

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

  dba Burton Vision Center

  • 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.