Individual provider Active NPI

Jacqueline Mullet, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Richmond Hill, GA
National Provider Identifier
1205224847
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.9854 Issued in OH
Practice address
503 Warren Hill Rd
Richmond Hill, GA 31324-6752
Phone
(912) 459-5130
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 SP.9854 OH Primary

Addresses

Primary practice location

503 Warren Hill Rd
Richmond Hill, GA 31324-6752

Mailing address

55 Cane Patch LN
Richmond Hill, GA 31324-7405
Phone (330) 730-0248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908001141 CA Practitioner - Qualified Speech Language Pathologist 1153823216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians
Slptele LLCGroup PAC ID 5395163174, 84 clinicians

Practice addresses (Care Compare)

530 Technology Dr
Suite 100
Irvine, CA 92618-1350
Phone (877) 757-8353

6320 Canoga Ave
FL 15
Woodland Hills, CA 91367-2593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP.9854OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC Speech-Language Pathologist CurrentSince Jul 1, 2025 Accepting new patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Jul 1, 2025 Accepting new patients
Seersoft Past Accepting new patients

Locations

1101 Marina Village Pkwy
Ste 201
Alameda, CA 94501
Phone (510) 493-3438

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

18000 Studebaker Rd
Ste 700
Cerritos, CA 90703
Phone (562) 400-6047

333 H St
Ste 5000
Chula Vista, CA 91910
Phone (619) 349-5410

516 W Shaw Ave
Ste 200
Fresno, CA 93704
Phone (559) 221-2584

530 Technology Dr
Ste 100
Irvine, CA 92618
Phone (213) 375-4070

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

931 10th St
Modesto, CA 95354
Phone (209) 661-5576

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

9431 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 480-1735

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

9655 Granite Ridge Dr
Ste 200
San Diego, CA 92123
Phone (775) 338-0773

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

3031 Tisch Way
Ste 110PW
San Jose, CA 95128

3031 Tisch Way
Ste 110
San Jose, CA 95128
Phone (669) 200-4619

951 Mariners Island Blvd
Ste 300
San Mateo, CA 94404
Phone (551) 227-3669

25350 Magic Mountain Pkwy
Ste 300
Valencia, CA 91355
Phone (661) 247-9568

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Organizations & group practices 3

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1205224847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CANE PATCH LN",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247405",
            "telephone_number": "330-730-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WARREN HILL RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246752",
            "telephone_number": "912-459-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLET",
        "first_name": "JACQUELINE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.