Jessica A Tice, MA, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019279-1 Issued in NY

Practice address

1 Rapp Rd
Albany, NY 12203-4491

Phone

(518) 867-3061

Fax

(518) 867-3066

NPI assigned

Nov 13, 2009

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 Arts

State licenses

Practice roles

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.

• Advanced Therapy, P.L.L.C.

  • Early Intervention Provider Agency
  • Albany, NY
  • NPI 1396907697
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1629305529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GUILDER LN",
            "address_2": "APT. #12",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849309",
            "telephone_number": "518-441-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAPP RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034491",
            "telephone_number": "518-867-3061",
            "fax_number": "518-867-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MA, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive & Grow, LLC
• Thrive and Nourish Counseling Center
• Marisa Nicole Thurin, PSY.D.
• Antoinette Tiberi
• Janet Mary Tiberia, PNP
• Dee Ann Tichy, M.S., CCC-SLP
• Emily Tiemann
• Patrick John Tierney
• Robert James Tierney, LCSW
• Olivia Grace Tierno-Humpf, FNP

• Speech-Language Pathologist in Albany, NY
• Providers in Albany, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.