NPIMap

Organization Active NPI

Jubilee Therapy, LLC

  • Speech-Language Pathologist
  • Vicksburg, MS
National Provider Identifier
1417434986
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JUBILEE THERAPY, LLC
Practice address
2222 S Frontage Rd Ste a
Vicksburg, MS 39180-5271
Phone
(601) 852-3271
Fax
(601) 530-1114
NPI assigned
Jul 26, 2018
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Ashton M Hotard, M.S. CCC-SLPNPI 1457875684
Title
Speech Language Pathologist
Phone
(601) 852-3271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2222 S Frontage Rd Ste a
Vicksburg, MS 39180-5271

Mailing address

2222 S Frontage Rd Ste a
Vicksburg, MS 39180-5271
Phone (601) 852-3271

Other identifiers 1

IdentifierTypeStateIssuer
02788783MedicaidMS

National Provider Directory

National Provider Directory

Locations

2222 S Frontage Rd
Vicksburg, MS 39180
Phone (601) 456-0159

2222 S Frontage Rd
Ste A
Vicksburg, MS 39180
Phone (601) 852-3271

916 Belmont St
Ste 1
Vicksburg, MS 39180
Phone (601) 852-3271

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1417434986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S FRONTAGE RD STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805271",
            "telephone_number": "601-852-3271",
            "fax_number": "601-530-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S FRONTAGE RD STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805271",
            "telephone_number": "601-852-3271",
            "fax_number": "601-530-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "HOTARD",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "601-852-3271",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02788783",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.