Serena Mae Jaskolka, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

P-0922 Issued in NH

Practice address

20 Maitland St
Concord, NH 03301-3534

Phone

(603) 410-3211

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1609503754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAIN ST APT 3",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571949",
            "telephone_number": "508-951-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAITLAND ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013534",
            "telephone_number": "603-410-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOLKA",
        "first_name": "SERENA",
        "middle_name": "MAE",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-0922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jann, O.D.
• Arlene Jaquez, LCMHC
• Darla Jaquith
• Laura Marie Jarmoc, M.D.
• Amy Jaskolka, MS, LCMHC, CEDS
• Jason J Peacock DDS, Ms, PLLC (Riverview Dental Associates)
• Amy L Jay, PA-C
• Michelle Jean-Raymond, MA
• Jeanne L. Browne (Concord Birth and Wellness Center)
• Jeffrey S. Forgosh, D.MD., P.a.

• Speech-Language Pathologist in Concord, NH
• Providers in Concord, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.