Active NPI
Jessica Alexandra Childers, CCC-SLP
- Speech-Language Pathologist
- Beverly, MA
National Provider Identifier
1508628850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2381
- Practice address
- 100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263 - Phone
- (978) 473-7300
- Fax
- (978) 969-0083
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2381 | WV | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263
Mailing address
23R Pine St Apt B
Manchester, MA 01944-1062
Phone (740) 629-7015
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2381 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Learning Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aspire Learning Center LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
100 Cummings Ctr
Ste 135C
Beverly, MA 01915
Phone (978) 473-7300
Organizations & group practices 2
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-Language Pathologist
- Beverly, MA
- NPI 1134034937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508628850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23R PINE ST APT B",
"city": "MANCHESTER",
"state": "MA",
"postal_code": "019441062",
"telephone_number": "740-629-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 135C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156263",
"telephone_number": "978-473-7300",
"fax_number": "978-969-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "JESSICA",
"middle_name": "ALEXANDRA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2025-09-11",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.