Individual provider Active NPI

Jenell Colgan

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1528480654
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007505A Issued in IN
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

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SZ8948FLMDSpeech-Language Pathologist
22007505AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Programming Inc. CurrentSince Jan 12, 2025 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.

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.

Verify at the official NPI Registry.