Jaclyn Alexis Gonzalez, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8983 Issued in TN

Practice address

10579 Cedar Grove Rd Ste 120
Smyrna, TN 37167-8385

Phone

(314) 283-8632

NPI assigned

Nov 11, 2025

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

Credentials

Master of Arts

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.

• Mission Hope Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Maynardville, TN
  • NPI 1013553304
  NPD (past)

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1174493415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 ADWELL APT C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293736",
            "telephone_number": "314-283-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10579 CEDAR GROVE RD STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678385",
            "telephone_number": "314-283-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JACLYN",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L. Glenn, M.D.
• Miller Goan
• Diamond Goins
• Christopher M. Golden, M.D.
• Tavia Isaura Gonzalez Pena, MD, MPH
• Good Samaritan Home Care, LLC
• Lori Good, PHARM.D.
• Bryon Keith Goodman, RN
• Frankie Goolsby, OD
• Jennifer L Gordon-Maloney, D.D.S.

• All providers in Smyrna, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.