Jenna Marshall Hodge, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Windsor, CO
NPI 1427625151 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1427625151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP.0005086 (CO)
- Practice address
- 4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321 - Phone
- (970) 305-5070
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Speech Therapy LLC
Practice addresses (Care Compare)
4650 Royal Vista Cir
Suite 100
Windsor, CO 80528-9321
Phone (970) 305-5070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230912003956 | CO | Practitioner - Qualified Speech Language Pathologist | 6406219229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0005086 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Therapy Group LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Summit Therapy Group LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Kidztherapy Networks Inc | Speech-Language Pathologist | Past |
Accepting new patients |
Locations
1931 65th Ave
Ste C
Greeley, CO 80634
Phone (970) 352-1877
4650 Royal Vista Cir
Windsor, CO 80528
Phone (970) 305-5070
4650 Royal Vista Cir
Ste 100
Windsor, CO 80528
Phone (970) 305-5070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.0005086 | CO | Yes |
Addresses
Primary practice location
4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Mailing address
4650 Royal Vista Cir Ste 100
Windsor, CO 80528-9321
Phone (256) 337-4943
Other providers in Windsor, CO
- Dee Todd Herring
- Brent Garland Hextell
- Devin Kent Higgins
- Jodi Higgins
- Heather Hiltz
- Melinda Kay Hodge
- Justine L Hoffman
- Payton Hoffman
- Molly Rose Hofmeister
- Jamie E Holland
All providers in Windsor, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.