Chantal Jora

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10372 Issued in MD

Practice address

101 Clarke PL
Frederick, MD 21701-6529

Phone

(301) 360-2000

NPI assigned

Feb 2, 2018

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Chantal Fuentes Former name

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

• Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1740437029
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1205335452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 PEACHWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055644",
            "telephone_number": "518-698-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLARKE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016529",
            "telephone_number": "301-360-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORA",
        "first_name": "CHANTAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP200001408",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTAL",
            "last_name": "FUENTES",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madalyn Jones
• Mariah Jones
• Patricia A Jones, CRNP
• Rachel Jones, MS, LGPC
• Taylour Jones
• Chelsea Jordan, LMSW
• Jennifer Leslie Jordan, LCSW-C
• Jessica Marie Jordan, PHARMD, BCGP
• Margaret A. Jordan, LGPC
• Phyllis V Jordan, LMT, RMP

• Speech-Language Pathologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.