Individual provider Active NPI

Jennifer Katherine Schoffer Closson, MS CCC-SLP

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1194942706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
970 Issued in MT
Practice address
9885 Obrien Creek Rd
Missoula, MT 59804-5881
Phone
(406) 543-3125
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 970 MT Primary

Addresses

Primary practice location

9885 Obrien Creek Rd
Missoula, MT 59804-5881

Mailing address

7848 Sugaree TRL
Lolo, MT 59847-9449
Phone (406) 493-6515

Other identifiers 2

IdentifierTypeStateIssuer
0534973MedicaidMT
66247-0OtherMTBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000050 MT Practitioner - Qualified Speech Language Pathologist 9335389881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
University of Montana CurrentSince Aug 1, 2012 Accepting new patients
University of Montana CurrentSince Aug 1, 2012 Accepting new patients

Locations

32 Campus Dr
Missoula, MT 59812
Phone (406) 243-0211

32 Campus Dr
Bldg 129
Missoula, MT 59812
Phone (406) 243-4006

634 Eddy Ave
Missoula, MT 59812
Phone (406) 243-2122

32 Campus Dr
Ste 129
Missoula, MT 59812
Phone (406) 243-5189

Organizations & group practices 2

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194942706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7848 SUGAREE TRL",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598479449",
            "telephone_number": "406-493-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 OBRIEN CREEK RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045881",
            "telephone_number": "406-543-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOFFER CLOSSON",
        "first_name": "JENNIFER",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534973",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "66247-0",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.