Individual provider Active NPI

Mia Margaret Jayes

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1619855988
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001663 Issued in VA
Practice address
6354 Walker LN Ste 250
Alexandria, VA 22310-3229
Phone
(703) 971-0602
Fax
(949) 863-6813
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 2204001663 VA Primary

Addresses

Primary practice location

6354 Walker LN Ste 250
Alexandria, VA 22310-3229

Mailing address

401 Holland LN Apt 609
Alexandria, VA 22314-3435
Phone (847) 910-0272

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
2204001663VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Childrens Center, LLC Speech-Language Pathologist CurrentSince Sep 3, 2025 Accepting new patients

Locations

6354 Walker Ln
Ste 250
Alexandria, VA 22310
Phone (703) 971-0602

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1619855988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOLLAND LN APT 609",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143435",
            "telephone_number": "847-910-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 250",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103229",
            "telephone_number": "703-971-0602",
            "fax_number": "949-863-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYES",
        "first_name": "MIA",
        "middle_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.