Individual provider Active NPI

Leann Jaeger, M.ED SLP/CCC

  • Speech-Language Pathologist
  • Alpharetta, GA
National Provider Identifier
1700571122
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012229 Issued in GA
Practice address
535 Treyburn VW
Alpharetta, GA 30004-3082
Phone
(281) 804-0012
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP012229 GA Primary

Addresses

Primary practice location

535 Treyburn VW
Alpharetta, GA 30004-3082

Mailing address

535 Treyburn VW
Alpharetta, GA 30004-3082
Phone (281) 804-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602002071 GA Practitioner - Qualified Speech Language Pathologist 3779940986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lasting Language Therapy ServicesGroup PAC ID 6507392438, 2 clinicians

Practice addresses (Care Compare)

6667 Vernon Woods Dr
Suite B16
Sandy Springs, GA 30328-3242
Phone (470) 951-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lasting Language Therapy Services Single Specialty CurrentSince Dec 15, 2024 Accepting new patients

Locations

6667 Vernon Woods Dr
Ste B16
Sandy Springs, GA 30328
Phone (470) 951-4988

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1700571122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 TREYBURN VW",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043082",
            "telephone_number": "281-804-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 TREYBURN VW",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043082",
            "telephone_number": "281-804-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "LEANN",
        "credential": "M.ED SLP/CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.