Individual provider Active NPI

Jennifer N Jones, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Shawnee, OK
National Provider Identifier
1609109297
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3514 Issued in OK
Practice address
3903 N Harrison St
Shawnee, OK 74804-1426
Phone
(405) 585-2971
Fax
(405) 585-2983
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 3514 OK Primary

Addresses

Primary practice location

3903 N Harrison St
Shawnee, OK 74804-1426

Mailing address

350875 E 1040
Prague, OK 74864-5010
Phone (405) 613-2805

Other practice location 1

350875 E 1040
Prague, OK 74864-5010
Phone (405) 613-2805

Other identifiers 1

IdentifierTypeStateIssuer
200259560BMedicaidOK

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
JJJ Therapy Services, LLC Speech-Language Pathologist Current Accepting new patients
Foundations Therapy, PLLC Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients
Foundations Therapy, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1609109297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350875 E 1040",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748645010",
            "telephone_number": "405-613-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041426",
            "telephone_number": "405-585-2971",
            "fax_number": "405-585-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350875 E 1040",
            "address_purpose": "LOCATION",
            "city": "Prague",
            "state": "OK",
            "postal_code": "748645010",
            "country_code": "US",
            "telephone_number": "405-613-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259560B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.