Jacqueline Kudary, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6741 Fulton St E Ste 201
Ada, MI 49301-9502

Phone

(616) 288-2210

NPI assigned

Sep 4, 2019

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 names 1

• Jacqueline Schmitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Ivyrehab Michigan, LLC

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  • Fenton, MI
  • NPI 1104337120

  Speech-Language Pathologist

  NPD
• Logan Community Resources, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • South Bend, IN
  • NPI 1891917449
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1285283119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 FULTON ST E STE 201",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019502",
            "telephone_number": "616-288-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDARY",
        "first_name": "JACQUELINE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SCHMITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kjc323Pllc
• Christopher Klein, MA
• Rachel Kloosterman, MSN RN, FNP-C
• Michele Koenes, MSW
• Cynthia Joyce Kok, PH.D.
• Monica Kunecki
• Kurt E Schabes, DDS, PLC
• Thomas E. Laberteaux, PH.D.
• Lantern Counseling LLC
• Lucas Lathrop

• Speech-Language Pathologist in Ada, MI
• Providers in Ada, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.