Active NPI
Jenell Colgan
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1528480654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22007505A
- Practice address
- 7901 E 88TH St
Indianapolis, IN 46256-1235 - Phone
- (317) 849-5437
- NPI assigned
- Jan 8, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Speech-Language Pathologist | 235Z00000X | SZ8948 | FL | |
| Speech-Language Pathologist | 235Z00000X | 22007505A | IN | Primary |
Addresses
Primary practice location
7901 E 88TH St
Indianapolis, IN 46256-1235
Mailing address
7901 E 88TH St
Indianapolis, IN 46256-1235
Phone (317) 849-5437
Other practice location 1
780 S Sapodilla Ave
Apt 111
West Palm Beach, FL 33401-4161
Phone (561) 635-2700
Other practice location 2
1201 US Highway 1 Ste 210
North Palm Beach, FL 33408-3547
Phone (561) 623-7515
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 |
|---|---|---|---|
| SZ8948 | FL | MD | Speech-Language Pathologist |
| 22007505A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Programming Inc. | Current | Accepting new patients |
Locations
7901 E 88th St
Indianapolis, IN 46256
Phone (317) 842-5437
Organizations & group practices 1
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.
-
- Behavior Analyst
- Indianapolis, IN
- NPI 1770706160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1528480654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 E 88TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561235",
"telephone_number": "317-849-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 E 88TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561235",
"telephone_number": "317-849-5437"
}
],
"practiceLocations": [
{
"address_1": "780 S Sapodilla Ave",
"address_2": "Apt 111",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334014161",
"country_code": "US",
"telephone_number": "561-635-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 US Highway 1 Ste 210",
"address_purpose": "LOCATION",
"city": "North Palm Beach",
"state": "FL",
"postal_code": "334083547",
"country_code": "US",
"telephone_number": "561-623-7515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLGAN",
"first_name": "JENELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ8948",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007505A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.