Individual provider Active NPI

Jodi A Honkala, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Chardon, OH
National Provider Identifier
1518567486
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14600 Issued in OH
Practice address
105 Water St
Chardon, OH 44024-1201
Phone
(440) 201-9295
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.20201585-SP OH
Speech-Language Pathologist 235Z00000X SP.14600 OH Primary

Addresses

Primary practice location

105 Water St
Chardon, OH 44024-1201

Mailing address

5909 Mallard CT
Mentor, OH 44060-1813
Phone (803) 917-6288

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
COND.20201585-SPOHMDSpeech-Language Pathologist
SP.14600OHMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: jcoggins39088@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1518567486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 MALLARD CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601813",
            "telephone_number": "803-917-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WATER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241201",
            "telephone_number": "440-201-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONKALA",
        "first_name": "JODI",
        "middle_name": "A",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20201585-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.