Individual provider Active NPI

Jessica Alexandra Childers, CCC-SLP

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1508628850
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2381 Issued in WV
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SLP-2381WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Learning Center LLC Speech-Language Pathologist CurrentSince May 4, 2025 Accepting new patients
Aspire Learning Center LLC Speech-Language Pathologist PastSince May 4, 2025 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.

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.

Verify at the official NPI Registry.