Jessica Hartz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009869 Issued in PA

Practice address

401-403 Hazle TWP Blvd
Hazle Township, PA 18202-9604

Phone

(570) 455-8888

Fax

(570) 459-9252

NPI assigned

Nov 8, 2013

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyoming Valley Childrens Association

  • Behavior Analyst
  • Forty Fort, PA
  • NPI 1639213473

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1639508674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401-403 HAZLE TWP BLVD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-455-8888",
            "fax_number": "570-459-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401-403 HAZLE TWP BLVD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029604",
            "telephone_number": "570-455-8888",
            "fax_number": "570-459-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187044003",
            "country_code": "US",
            "telephone_number": "570-714-1246",
            "fax_number": "570-714-1249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Hazleton Ambulance LLC
• Greater Hazleton Gastroenterology, P.C.
• Greco Chiropractic, P.C.
• Colleen Marie Haggerty-Barron, MS, RDN
• Larry Gene Halye Jr., LAT, ATC
• Edward Joseph Harvilla, RN
• Hazleton Area SD
• Hazleton Endoscopy Center, Inc.
• Hazleton Eye Center, Inc.
• Hazleton Physical Therapy, LLC

• Speech-Language Pathologist in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.