Jordan Mezzanotte, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-2631 Issued in WV

Practice address

401 Guffey St
Fairmont, WV 26554-4029

Phone

(304) 363-2500

NPI assigned

Apr 22, 2026

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 WV

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333
  Medicare reassignment

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1114862471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FRISCO LN",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263305601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GUFFEY ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544029",
            "telephone_number": "304-363-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZANOTTE",
        "first_name": "JORDAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Urgent Care, Inc. - West Virginia
• Melissa a. Diamond, OD, PLLC
• Eugenio Aldea Menez, MD
• Brian R Menzies, DC
• Ramona Messenger
• Michael F Trent & Michael J Meador DDS Inc
• Michael L Ferrebee, M.D., PLLC
• Amy Jo Michael, MS,CCC/SLP
• Ashlee Michno
• Joseph Midjette Jr

• Speech-Language Pathologist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.