Individual provider Active NPI

Jennifer Scaggs, M.A. CCC- SLP, LMT

  • Speech-Language Pathologist
  • Bexley, OH
National Provider Identifier
1205226131
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-10564 Issued in OH
Practice address
2700 E Main St Ste 109
Bexley, OH 43209-2581
Phone
(740) 490-2414
Fax
(740) 860-4686
NPI assigned
Jan 30, 2015
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.026692 OH
Speech-Language Pathologist 235Z00000X SP-10564 OH Primary

Addresses

Primary practice location

2700 E Main St Ste 109
Bexley, OH 43209-2581

Mailing address

PO Box 291
Etna, OH 43018-0291
Phone (740) 490-2414

Other practice location 1

3091 Olympic Club Dr
Pickerington, OH 43147-8651
Phone (740) 490-2414

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
33.026692OHMDMassage Therapist
SP-10564OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Connections Speech and Wellness LLC Massage Therapist CurrentSince Mar 31, 2024 Accepting new patients

Locations

2700 E Main St
Ste 109
Bexley, OH 43209
Phone (740) 490-2414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1205226131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430180291",
            "telephone_number": "740-490-2414",
            "fax_number": "740-860-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E MAIN ST STE 109",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092581",
            "telephone_number": "740-490-2414",
            "fax_number": "740-860-4686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3091 Olympic Club Dr",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431478651",
            "country_code": "US",
            "telephone_number": "740-490-2414",
            "fax_number": "740-860-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCAGGS",
        "first_name": "JENNIFER",
        "credential": "M.A. CCC- SLP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026692",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-10564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bexley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.