Individual provider Active NPI

Jeanne Therese Futscher, MS CCC-SLP

  • Speech-Language Pathologist
  • Cumming, GA
National Provider Identifier
1164589644
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011357 Issued in GA
Practice address
2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255
Phone
(678) 644-0819
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9885 CA
Speech-Language Pathologist 235Z00000X 011357 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Mailing address

2450 Atlanta Hwy
Cumming, GA 30040-8099
Phone (678) 644-0819

Other practice location 1

7200 Redwood Blvd
Novato, CA 94945
Phone (415) 893-4132

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

LicenseStateTypeSpecialty
011357GAMDGeneral Practice Dentistry
9885CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Therapy for Kids, LLC Speech-Language Pathologist PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1164589644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408099",
            "telephone_number": "678-644-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "678-644-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Redwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "94945",
            "country_code": "US",
            "telephone_number": "415-893-4132",
            "fax_number": "415-893-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUTSCHER",
        "first_name": "JEANNE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9885",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "011357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.