Jordan Carly Jane Beck, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3132-154 Issued in WI

Practice address

1354 N 65TH St
Wauwatosa, WI 53213-2972

Phone

(414) 208-0753

NPI assigned

Jan 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Communication and Feeding Specialists LLC

  • Hearing and Speech Clinic/Center
  • Wauwatosa, WI
  • NPI 1548827249
  NPD Authorized official
• Tosa Speech Language Pathology LLC

  • Speech-Language Pathologist
  • Wauwatosa, WI
  • NPI 1205260049
  NPD Authorized official
• Tosa Pediatrics SC

  • Pediatrics Physician
  • Wauwatosa, WI
  • NPI 1588621536
  NPD (past)

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1497086243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 N 65TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132972",
            "telephone_number": "414-208-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 N 65TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132972",
            "telephone_number": "414-208-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JORDAN",
        "middle_name": "CARLY JANE",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3132-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Free Counseling Services LLC
• Katrina Beardmore, LPC
• Marissa May Beaty
• Bernadette Beaumont, NP
• Kathryn Becherer, DDS
• Josie Elizabeth Beck, LPC-IT, ATR-P
• Marie Beck, RPH
• Michael D Becker, MD
• Ashok R Bedi, MD
• Megan O Bedolla, MD

• Speech-Language Pathologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; 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.