Individual provider Active NPI

Jessica Buzenski

  • Speech-Language Pathologist
  • Troy, MI
National Provider Identifier
1366322109
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101001931 Issued in MI
Practice address
5877 Livernois Rd Ste 101
Troy, MI 48098-3100
Phone
(248) 828-3800
Fax
(248) 828-4226
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101001931 MI Primary

Addresses

Primary practice location

5877 Livernois Rd Ste 101
Troy, MI 48098-3100

Mailing address

5877 Livernois Rd Ste 101
Troy, MI 48098-3100
Phone (248) 828-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002128 MI Practitioner - Qualified Speech Language Pathologist 4981100633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

47917 Liberty Dr
Shelby Township, MI 48315-4057

5877 Livernois Rd
Suite 101
Troy, MI 48098-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101001931MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Como Pediatric Communication Center LLC Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients

Locations

5877 Livernois Rd
Ste 101
Troy, MI 48098
Phone (248) 828-3800

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1366322109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "248-828-3800",
            "fax_number": "248-828-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "248-828-3800",
            "fax_number": "248-828-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZENSKI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.