Jenna Marie Kirchoff, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0005907 Issued in CO

Practice address

2883 S Circle Dr
Colorado Springs, CO 80906-4112

Phone

(719) 570-7474

NPI assigned

Sep 5, 2012

Last updated

Sep 19, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Pikes Peak Board of Cooperative Educational Services

  • Local Education Agency (LEA)
  • Colorado Springs, CO
  • NPI 1518095595
  NPD

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1144579269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064112",
            "telephone_number": "719-570-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Annex Road",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "WI",
            "postal_code": "53549",
            "country_code": "US",
            "telephone_number": "920-674-8718",
            "fax_number": "920-674-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHOFF",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3724-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030185",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiowa Hills Rehabilitation and Nursing, LLC
• Andrea Michelle Kippel
• Lisa Kirby
• Marissa Kirby
• Lorence Tobias Kircher III, MD
• Timothy Kirgin
• Nuwanee Kirihennedige, MS, RD, CSSD
• Trinity State Kirillov, CPM LM
• Beth Kirk-Small, LMFT
• Tricia L Kirk, PT

• Speech-Language Pathologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.