Jennifer Diane Metaxas, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013210 Issued in IL

Practice address

3526 Silverside Rd Ste 37
Wilmington, DE 19810-4901

Phone

(302) 415-3382

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Diane Less Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech and Language for Kids LLC

  • Speech-Language Pathologist
  • Wilmington, DE
  • NPI 1205485489
  NPD Authorized official
• Speech and Language for Kids LLC

  • Speech-Language Pathologist
  • Arlington Heights, IL
  • NPI 1528738168
  NPD Authorized official

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1477067064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 SILVERSIDE RD STE 37",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104901",
            "telephone_number": "302-415-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 SILVERSIDE RD STE 37",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104901",
            "telephone_number": "302-415-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Dearborn St Apt 2107",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606107173",
            "country_code": "US",
            "telephone_number": "847-852-0928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METAXAS",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@speechlanguagekids.com",
            "affiliation": "N",
            "address_1": "3526 Silverside Rd Ste 37",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LESS",
            "middle_name": "DIANE",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Merritt, M.S., OTR L
• Faith Maura Merritt
• Mallory Jordan Merryman, MSW, LCSW
• Joseph J Mesa, MD
• Lauren Messick
• Sharon J Metaxas, LCSW
• Ramaz Metreveli, M.D.
• Metro Medics Ambulance LLC
• Metta Counseling Inc
• Ashley Metz, FNP-C

• Speech-Language Pathologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Speech-Language Pathologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.