Jennifer Marie Likens Richeson, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3276 Issued in KY

Practice address

1901 Windsor Ave
Owensboro, KY 42301-4454

Phone

(270) 485-6120

NPI assigned

Jun 29, 2007

Reactivated

May 16, 2018

Last updated

Jun 24, 2021By 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 1

Addresses

Other identifiers 3

Other names 1

• Ms. Jenny Likens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1235336439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WINDSOR AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014454",
            "telephone_number": "270-485-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WINDSOR AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014454",
            "telephone_number": "270-485-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE LIKENS",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2021-06-24",
        "certification_date": "2020-08-12",
        "deactivation_date": "2018-04-24",
        "reactivation_date": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ICF",
            "identifier": "11903135",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SCL",
            "identifier": "33000035",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45118379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "LIKENS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramona W Rhodes, APRN
• Debbie Rice, LPN
• Valentine Richards
• Elizabeth Ann Richardson, OD
• Mallory Richardson
• Elizabeth Elizabeth Richey
• Jaki Richter, OD
• Amber L Rickard
• William R. Ricketson
• Scarlett Riddle

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.