Jennifer Mogensen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6976 Issued in MA

Practice address

52 Adams Rd
North Grafton, MA 01536-2107

Phone

(203) 206-6626

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Intentional Communication, LLC

  • Speech-Language Pathologist
  • North Grafton, MA
  • NPI 1154162725

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1174364814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ADAMS RD",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015362107",
            "telephone_number": "203-206-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ADAMS RD",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015362107",
            "telephone_number": "203-206-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENSEN",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McLaughlin, MS, FNP-BC
• Meghan McMahon, LMHC
• Jennifer McNamara, LMT, CMT
• Kaitlyn Adams Merriam, NP
• Matthew Taylor Miracle, BA
• Marisa Molinaro, BS
• Monica Rao DMD, Inc.
• Shayan Mosaffa, PHARMD
• Tara Murphy
• My Choice Therapy

• Speech-Language Pathologist in North Grafton, MA
• Providers in North Grafton, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.