Active NPI
Jennifer Lynn McGlynn, CCC-SLP
- Speech-Language Pathologist
- Bolivia, NC
National Provider Identifier
1346546751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14048
- Practice address
- 35 Referendum Dr NE
Bolivia, NC 28422-7578 - Phone
- (910) 406-5100
- Fax
- (866) 293-0649
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 007481-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | 14048 | NC | Primary |
Addresses
Primary practice location
35 Referendum Dr NE
Bolivia, NC 28422-7578
Mailing address
5346 Kincaid PL
Winnabow, NC 28479-4601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14048 | NC | MD | Professional Counselor |
| 007481-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1346546751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 KINCAID PL",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284794601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 REFERENDUM DR NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284227578",
"telephone_number": "910-406-5100",
"fax_number": "866-293-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLYNN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007481-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.