Individual provider Active NPI

Jessie Kensey

  • Speech-Language Pathologist
  • Rancho Santa Margarita, CA
National Provider Identifier
1407392038
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30588 Issued in CA
Practice address
9 Crucillo
Rancho Santa Margarita, CA 92688-1234
Phone
(949) 632-9478
NPI assigned
Jan 6, 2017
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 30588 CA Primary

Addresses

Primary practice location

9 Crucillo
Rancho Santa Margarita, CA 92688-1234

Mailing address

9 Crucillo
Rancho Santa Margarita, CA 92688-1234
Phone (949) 632-9478

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

LicenseStateTypeSpecialty
30588CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Speech Therapy Inc. CurrentSince Mar 26, 2023 Accepting new patients

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1407392038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRUCILLO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881234",
            "telephone_number": "949-632-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRUCILLO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881234",
            "telephone_number": "949-632-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENSEY",
        "first_name": "JESSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.